Gregory B Kloesel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4107TG Issued in TX

Practice address

101 River Oaks Dr
Ste 100
Southlake, TX 76092

Phone

(817) 562-2101

Fax

(817) 562-2201

NPI assigned

Aug 12, 2005

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 TX

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

University of Houston - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.66 of 100Reported as group

Quality

95.31

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gkloesel@kwec.intellechartdirect.net

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.

• JW Eye Associates, PLLC

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1285679803

  Optometrist

  Medicare reassignment Care Compare group NPD
• Southlake Eye Associates, PA

  • Optometrist
  • Southlake, TX
  • NPI 1801966528
  Medicare reassignment NPD Authorized official
• Eye Consultants of Texas PA

  • Ophthalmology Physician
  • Grapevine, TX
  • NPI 1265588461
  Medicare reassignment NPD
• JW Eye Associates, PLLC

  • Ophthalmology Physician
  • Greenville, TX
  • NPI 1518849728

  Optometrist

  NPD
• JW Eye Associates, PLLC

  • Ophthalmology Physician
  • Grapevine, TX
  • NPI 1972328177
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1962404665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVER OAKS DR",
            "address_2": "STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-562-2101",
            "fax_number": "817-562-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVER OAKS DR",
            "address_2": "STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-562-2101",
            "fax_number": "817-562-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOESEL",
        "first_name": "GREGORY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4107TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "8F9265",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KJK Eye Care LLC
• Marla Jan Klein
• Samantha Klein, MA, BCBA, LBA
• Donna June Klement, NP-C
• Heather Jo Kline, FNP-C
• Roger S Knapp II, MD
• John T Knight, M.D.
• Know Your Worth Counseling and Wellness
• Matthew Kobeszko, M.D.
• Madhuri Latha Koganti, M.D.

• Optometrist in Southlake, TX
• Providers in Southlake, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.