Jeffrey A. Klosterman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1674DT Issued in KY

Practice address

125 Collin Drive
Harrodsburg, KY 40330

Phone

(859) 734-3697

Fax

(859) 734-3695

NPI assigned

Jan 25, 2006

Last updated

Sep 3, 2020By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Jeffrey a Klosterman Optometrist Inc

  • Optometrist
  • Harrodsburg, KY
  • NPI 1215036140
  Authorized official Same address or phone
• Bluegrass Eye Surgery PSC

  • Ophthalmology Physician
  • Lebanon, KY
  • NPI 1073799268
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1720058316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SEXTON RD",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403308939",
            "telephone_number": "859-797-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COLLIN DRIVE",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "40330",
            "telephone_number": "859-734-3697",
            "fax_number": "859-734-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTERMAN",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1674DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001618",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1720058316",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Webb Johnson
• Timothy Kazimer, PT
• Jennifer Willmott Keller, RPH
• Mackenzie Erin Kennett
• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy # 06348)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Susan R Lankford, PT
• Steven G Layson, MA
• Christina Michelle Leber, APRN, FNP-C
• Sarah Austyn Leigh, RD, LD

• Optometrist in Harrodsburg, KY
• Providers in Harrodsburg, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.