Organization
KARL KLEINAU
Active
Other names
dr kleinau and associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL JURGEN KLEINAU O.D. (OWNER)
(704) 867-1392
Entity
Organization
Contact information
Practice address
246 N NEW HOPE RD, GASTONIA, NC 28054-4745
(707) 867-1392
Mailing address
246 N NEW HOPE RD, PO BOX 5131, GASTONIA, NC 28054-4745
(707) 867-1392
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0276H
BCBS
NC
01
—
2241738
UNITED HEALTHCARE OF NC
NC
01
—
NC1392
EYEMED
—
Enumeration date
07/07/2006
Last updated
08/22/2020
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