# DR. JIL KLEIN - OCEAN PINES VISION CARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417171588
- **Authorized official:** DR. JIL KLEIN O.D. (PRESIDENT)
- **Authorized official phone:** (410) 208-4949

## Contact information

- **Practice address:** 11002 MANKLIN MEADOW LANE, SUITE 6, OCEAN PINES, MD 21811
- **Practice address phone:** (410) 208-4949
- **Practice address fax:** (410) 208-4955
- **Mailing address:** 11002 MANKLIN MEADOW LANE, SUITE 6, OCEAN PINES, MD 21811
- **Mailing address phone:** (410) 208-4949
- **Mailing address fax:** (410) 208-4955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | TA1384 | MD | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 09/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2116528 | UNITED HEALTH CARE | MD |
| 01 | — | 546991-06 | BC BS | MD |
| 01 | — | G9150001 | BC BS FEDERAL | MD |