Individual provider Active NPI

Steven A. Klecker, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1821098401
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
844DT Issued in KY
Practice address
1555 E New Circle Rd
Suite #146
Lexington, KY 40509-1043
Phone
(859) 269-6921
Fax
(859) 266-9504
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 844DT KY Primary

Addresses

Primary practice location

1555 E New Circle Rd
Suite #146
Lexington, KY 40509-1043

Mailing address

1555 E New Circle Rd
Suite #146
Lexington, KY 40509-1043
Phone (859) 269-6921

Other identifiers 2

IdentifierTypeStateIssuer
77008449MedicaidKY
0923602OtherKYFEDERAL MEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20051107000173 KY Practitioner - Optometry 5597781658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
844DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Klecker Optometrist CurrentSince Nov 1, 2002 Accepting new patients
Casak Woodhill LLC PastSince Nov 1, 2002 Accepting new patients

Locations

1555 E New Circle Rd
Ste 146
Lexington, KY 40509
Phone (859) 266-3003

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1821098401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E NEW CIRCLE RD",
            "address_2": "SUITE #146",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091043",
            "telephone_number": "859-269-6921",
            "fax_number": "859-266-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E NEW CIRCLE RD",
            "address_2": "SUITE #146",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091043",
            "telephone_number": "859-269-6921",
            "fax_number": "859-266-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLECKER",
        "first_name": "STEVEN",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "844DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77008449",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL MEDICARE ID",
            "identifier": "0923602",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.