Active NPI
David Michael Kleim, O.D.
- Optometrist
- Centennial, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.0001679
- Practice address
- 15530 E Broncos Pkwy
Suite 200
Centennial, CO 80112-7111 - Phone
- (303) 766-2020
- Fax
- (303) 680-8337
- NPI assigned
- Nov 1, 2006
- 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 | 991967999 | CO | |
| Optometrist | 152W00000X | OPT.0001679 | CO | Primary |
Addresses
Primary practice location
15530 E Broncos Pkwy
Suite 200
Centennial, CO 80112-7111
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08167991 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15530 E Broncos Pkwy
Unit 200
Centennial, CO 80112-7111
Phone (303) 766-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 991967999 | CO | MD | Optometrist |
| OPT.0001679 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Colorado PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Colorado PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Colorado PC | Optometrist | Current | Accepting new patients |
Locations
15530 E Broncos Pkwy
Unit 200
Englewood, CO 80112
Phone (303) 766-2020
200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 3
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.
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- Parker, CO
- NPI 1174170526
-
- Optometrist
- Parker, CO
- NPI 1164382842
-
- Optometrist
- Denver, CO
- NPI 1285281634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1710064308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15530 E BRONCOS PKWY",
"address_2": "SUITE 200",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801127111",
"telephone_number": "303-766-2020",
"fax_number": "303-680-8337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIM",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "991967999",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0001679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08167991",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.