Edyta Klimek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1369 Issued in AZ

Practice address

27451 La Paz Rd Ste B
Laguna Niguel, CA 92677-4082

Phone

(949) 643-2020

Fax

(949) 643-9061

NPI assigned

Sep 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Southern California College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment Care Compare group NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Seal Beach Eyes Optometry Inc

  • Optometrist
  • Seal Beach, CA
  • NPI 1124171566
  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1932196227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27451 LA PAZ RD STE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774082",
            "telephone_number": "949-643-2020",
            "fax_number": "949-643-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27451 LA PAZ RD STE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774082",
            "telephone_number": "949-643-2020",
            "fax_number": "949-643-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMEK",
        "first_name": "EDYTA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1369",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12594T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Wayne Kinser, DDS
• KKN Pharmacy Corporation
• KKN Pharmacy Corporation
• Lorrie J Klein, M.D.
• Marti Lynn Klein
• Edward D Klinicke
• Koala Bilingual Speech Therapy, Inc.
• Aaron Koba, LMFT
• Ellen Rosemary Koci, RN, BSN
• Nancy Ellen Koehler, PA-C

• Optometrist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.