Michael D Klautzsch, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OR2515ATI Issued in OR

Legal business name

MICHAEL D KLAUTZSCH, OD, PC

Practice address

1597 SW 53Rd St
Corvallis, OR 97333-2630

Phone

(541) 757-8844

Fax

(541) 754-9810

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John L Admire

Title

Special Projects Coordinator

Phone

(541) 757-8844

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• All Family Vision Care, Salem Vision Clinic Doing business as

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1609924968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 SW 53RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973332630",
            "telephone_number": "541-757-8844",
            "fax_number": "541-754-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 SW 53RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973332630",
            "telephone_number": "541-757-8844",
            "fax_number": "541-754-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D KLAUTZSCH, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "ADMIRE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPECIAL PROJECTS COORDINATOR",
        "authorized_official_telephone_number": "541-757-8844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "OR2515ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "079327001",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074950",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Family Vision Care, Salem Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan E Meyer, LPN
• Douglas Sprague Meyers, CRM
• Megan Jane Meyers
• Juliana Meyner, MSW
• Jennifer L Micek, DO
• Michael Sorah
• Christopher I Michel, PA-C
• Emily Michele
• Michelle Hayes LCSW, LLC
• Mid-Valley Dental Associates Corvallis LLC

• Optometrist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.