Thomas Francis Klimek, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003576 Issued in MI

Practice address

120 N Michigan Ave
Ste 1
Big Rapids, MI 49307-1457

Phone

(231) 796-5321

Fax

(231) 796-2957

NPI assigned

May 24, 2005

Last updated

Dec 4, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1508869272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MICHIGAN AVE",
            "address_2": "STE 1",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071457",
            "telephone_number": "231-796-5321",
            "fax_number": "231-796-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MICHIGAN AVE",
            "address_2": "STE 1",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071457",
            "telephone_number": "231-796-5321",
            "fax_number": "231-796-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMEK",
        "first_name": "THOMAS",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2893497",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andria Keusch, P.A.C.
• Christa Keys
• Rawan Khanafer
• Daniel Michael Killian, CNP
• Tyler Kime, PHARM.D.
• Grace Lynn Knapp
• Jennifer Lynn Kohn
• Dennis Kordich, DDS
• Diane Marie Kordie-Trowbridge
• John Joseph Kozlowski IV, FNP

• Optometrist in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.