Organization
MICHAEL D KLAUTZSCH, OD, PC
Active
Other names
All Family Vision Care, Salem Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L ADMIRE (SPECIAL PROJECTS COORDINATOR)
(541) 757-8844
Entity
Organization
Contact information
Practice address
1597 SW 53RD ST, CORVALLIS, OR 97333-2630
(541) 757-8844
(541) 754-9810
Mailing address
1597 SW 53RD ST, CORVALLIS, OR 97333-2630
(541) 757-8844
(541) 754-9810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OR2515ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074950
—
OR
01
—
079327001
BLUE CROSS
OR
Enumeration date
01/05/2007
Last updated
09/30/2008
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