Organization
ROBERT P KLINGENBECK OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT PATRICK KLINGENBECK OD (CORPORATION PRESIDENT OPTOMETRIST)
(256) 546-5782
Entity
Organization
Contact information
Practice address
1415 RAINBOW DRIVE, GADSDEN, AL 35901-5319
(256) 546-5782
(256) 547-5201
Mailing address
1415 RAINBOW DRIVE, GADSDEN, AL 35901-5319
(256) 546-5782
(256) 547-5201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S380TA051
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059448
—
AL
01
—
0139856
BCBS OF TN
AL
01
—
0605110001
PALMETTO GBA
AL
01
—
2210144
UNITED HEALTHCARE INS CO
AL
01
—
51059448
BCBS OF AL
AL
01
—
7450211
AETNA
AL
01
—
C000059448
UNITED AMERICAN INS CO
AL
01
—
T68961
HEALTHSPRING OF ALABAMA I
AL
Enumeration date
12/19/2006
Last updated
05/27/2008
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