Richard J Klaehn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001690A Issued in IN

Practice address

4536 Maplecrest Road
Ft. Wayne, IN 46835

Phone

(260) 485-6406

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851469878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 MAPLECREST ROAD",
            "city": "FT. WAYNE",
            "state": "IN",
            "postal_code": "46835",
            "telephone_number": "260-485-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 MAPLECREST ROAD",
            "city": "FT. WAYNE",
            "state": "IN",
            "postal_code": "46835",
            "telephone_number": "260-485-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAEHN",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001690A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole E Kitt
• Krista Kittredge
• Shawn Kitzmiller
• Aydin T. Kizilisik, MD
• Melanie Michelle Kizziar, RN
• Kathryn I Kleber, M.D.
• Rachel Lynn Klein, RN
• Kole Joseph Kleinrichert, DMD
• Elijah Klepper, PT, DPT
• Lynne Lea Klepper, MSN, ANP-BC

• Optometrist in Ft. Wayne, IN
• Providers in Ft. Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.