Active NPI
Steven Ross Klein, OD
- Vision Therapy Optometrist
- Joint Base Lewis McChord, WA
National Provider Identifier
1629322094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- OEG003890
- Practice address
- Madigan Army Medical Center 9040a Jackson Ave
Joint Base Lewis McChord, WA 98431-4472 - Phone
- (253) 968-6068
- NPI assigned
- Nov 6, 2012
- Last updated
- May 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4708 | FL | |
| Vision Therapy Optometrist | 152WV0400X | OEG003890 | PA | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040a Jackson Ave
Joint Base Lewis McChord, WA 98431-4472
Mailing address
275 Water Forest Dr
Dingmans Ferry, PA 18328-3439
Phone (850) 766-0196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4708 | FL | MD | Optometrist |
| OEG003890 | PA | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1629322094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 WATER FOREST DR",
"city": "DINGMANS FERRY",
"state": "PA",
"postal_code": "183283439",
"telephone_number": "850-766-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984314472",
"telephone_number": "253-968-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "STEVEN",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-06",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4708",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "PA",
"license": "OEG003890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.