Individual
DR. MICHAEL D KLAUTZSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1470 SW KNOLL AVE STE 102, BEND, OR 97702-3154
(541) 797-0295
Mailing address
1470 SW KNOLL AVE STE 102, BEND, OR 97702-3154
(541) 797-0295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2515ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074950
—
OR
01
—
079327001
BLUE CROSS
OR
01
—
079328000
REGENCE BLUE CROSS
OR
01
—
079328001
RBCBS MED ADVANTAGE
OR
Enumeration date
10/26/2007
Last updated
04/10/2026
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