Organization
KLEMP OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET KLEMP (OWNER)
(208) 743-4022
Entity
Organization
Contact information
Practice address
1910 IDAHO STREET, LEWISTON, ID 83501-2086
(208) 743-4022
(208) 746-0170
Mailing address
1910 IDAHO STREET, LEWISTON, ID 83501-2086
(208) 743-4022
(208) 746-0170
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP897
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015178
REGENCE PROVIDER NO
ID
01
—
1369050
MEDICARE PTAN
ID
05
—
2031375
—
WA
05
—
807324500
—
ID
01
—
DF0013
RAILROAD MEDICARE-PTAN
—
01
—
V7166
BC OF ID GRP PROVIDER NO
ID
Enumeration date
10/18/2006
Last updated
10/07/2013
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