Individual
DR. KARL JURGEN KLEINAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 PARK ST, BELMONT, NC 28012-3368
(704) 295-3700
(704) 295-3707
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1165
SC
152W00000X
Optometrist
Primary
1392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905R
BCBS OF NORTH CAROLINA
NC
01
—
20096067
SELECT HEALTH OF SC
SC
01
—
2241738
UNITED HEALTHCARE
NC
01
—
5107023
AETNA
NC
05
—
890905R
—
NC
05
—
DN1392
—
SC
01
—
NC1392
EYEMED
NC
Enumeration date
06/15/2005
Last updated
01/29/2010
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