Richard Lee Klinnert, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003409 Issued in WA

Practice address

1207 Old Fairhaven Pkwy
Bellingham, WA 98225-7411

Phone

(360) 733-1190

Fax

(360) 734-1306

NPI assigned

Nov 1, 2006

Last updated

Sep 14, 2009By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Whidbey Vision Care Inc PS

  • Optometrist
  • Freeland, WA
  • NPI 1124199435
  NPD (past)
• Whidbey Vision Care Inc PS

  • Optometrist
  • Oak Harbor, WA
  • NPI 1497810071
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1891873832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 OLD FAIRHAVEN PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257411",
            "telephone_number": "360-733-1190",
            "fax_number": "360-734-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 OLD FAIRHAVEN PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257411",
            "telephone_number": "360-733-1190",
            "fax_number": "360-734-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINNERT",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "4125KL",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025211",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Klco, LMP
• Elyse M Kleidon, ARNP
• Stephanie Kleinbrook
• Kenneth J Klem, DDS
• Karey Lee Klemka-Baker, LMP
• Brandy Rai Kloth
• Yaroslav Igorevich Klykov, LMP
• Abigail Knapp
• Bryn Knapp
• Maxwell Knapp

• Optometrist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.