Karl Jurgen Kleinau, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1392 Issued in NC

Practice address

400 Park St
Belmont, NC 28012-3368

Phone

(704) 295-3700

Fax

(704) 295-3707

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 360Care LLC

  • Dentist
  • Louisville, KY
  • NPI 1417592536

  Optometrist, SC

  Medicare reassignment NPD
• Mobile Vision of South Carolina, LLC

  • Optometrist
  • Louisville, KY
  • NPI 1659731560

  SC

  Medicare reassignment NPD
• Karl Kleinau

  • Optometrist
  • Gastonia, NC
  • NPI 1194757609
  NPD (past) Authorized official
• 360Care LLC

  • Audiologist
  • Columbia, SC
  • NPI 1619598281
  NPD
• Charlotte Eye Ear Nose & Throat Associates, P.a.

  • Ophthalmology Physician
  • Charlotte, NC
  • NPI 1043287469

  Optometrist

  NPD (past)
• Clark Optometric Center PA

  • Optometrist
  • Durham, NC
  • NPI 1588619217
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1598760894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103256",
            "telephone_number": "704-295-3000",
            "fax_number": "704-838-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARK ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123368",
            "telephone_number": "704-295-3700",
            "fax_number": "704-295-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINAU",
        "first_name": "KARL",
        "middle_name": "JURGEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1392",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5107023",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DN1392",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NC1392",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "0905R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2241738",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH OF SC",
            "identifier": "20096067",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890905R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kettle & Olsen PLLC
• Robert Cecil Keys IV, DC
• Larry Leslie Kimel, D.MIN.
• Brady Kirsch, OD
• Brock Robert Kittle, DDS
• Chloe Katherine Kline, PA-C
• Lindsay Radko Knuth, AUD
• Lauren N Kohn, OT
• Megan T Kontogiorgis, OT
• Scott David Koon

• Optometrist in Belmont, NC
• Providers in Belmont, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.