Jay B Klein, O.D. PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC0001805 Issued in FL

Practice address

924 Candlelight Blvd
Brooksville, FL 34601-3116

Phone

(352) 796-4833

Fax

(352) 799-0462

NPI assigned

Jul 13, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Jay B Klein OD PA

  • Optometrist
  • Brooksville, FL
  • NPI 1972789030
  Medicare reassignment NPD Authorized official
• Kathleen D. Wooster, O.D., P.a.

  • Optometrist
  • Brooksville, FL
  • NPI 1174855779
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1831114198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 CANDLELIGHT BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013116",
            "telephone_number": "352-796-4833",
            "fax_number": "352-799-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 CANDLELIGHT BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013116",
            "telephone_number": "352-796-4833",
            "fax_number": "352-799-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JAY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D. PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0001805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078715900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atif Khan
• Ayesha Asim Khan
• Kidney Care Center North Tampa LLC
• Alicia Linda Kilian
• Linda Kirkwood, PTA
• Carl Martin Knisley-Desmond, HOME HEALTH NURSE
• Laura Lynn Koach, NP
• Sailesh Konda, M.D.
• Ayse Gul Korkmaz, MD
• Gopal R Korupolu, M.D.

• Optometrist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.