Robert Patrick Klingenbeck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S380TA051 Issued in AL

Practice address

1415 Rainbow Dr
Gadsden, AL 35901-5319

Phone

(256) 546-5782

Fax

(256) 547-5201

NPI assigned

Feb 24, 2008

Last updated

Mar 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Robert P Klingenbeck OD PC

  • Optometrist
  • Gadsden, AL
  • NPI 1801959846
  Authorized official Same address or phone

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

{
    "created_epoch": "1203811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1952570988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015319",
            "telephone_number": "256-546-5782",
            "fax_number": "256-547-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015319",
            "telephone_number": "256-546-5782",
            "fax_number": "256-547-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGENBECK",
        "first_name": "ROBERT",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-24",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S380TA051",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AL",
            "license": "S380TA051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-J",
            "identifier": "0605110001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELDOFALAB",
            "identifier": "51059448",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBLUECROSSANDBLUESHI",
            "identifier": "220NMEDCAREPRO",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVAHEALTH",
            "identifier": "T68961",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Maree King
• Alena Rose Abouhana Kirstein, DO
• Katelin Kirtland, LPTA
• Christopher Kirya, MD
• Katrin Klemm, M.D.
• Angela Taylor Knight
• Jennifer M Knight, RPH
• Stephanie Knight
• Monoj Kumar Konda, MD
• Janel L Kunza, M.D.

• Optometrist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.