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Organization
STEVEN M KLEEN OPTOMETRIC CORPORATION
Active
Organization
STEVEN M KLEEN OPTOMETRIC CORPORATION
Active
Other names
Kleen Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MATTHEW KLEEN OD (PRESIDENT/OWNER)
(805) 722-4748
Entity
Organization
Contact information
Practice address
701 W CENTRAL AVE, LOMPOC, CA 93436-2829
(805) 737-1826
Mailing address
640 MAYRUM ST, SANTA BARBARA, CA 93111-2719
(805) 722-4748
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15248TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376924779
NPI TYPE 1 (INDIVIDUAL)
CA
Enumeration date
12/01/2017
Last updated
12/01/2017
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