Individual
DR. CHAD R KLUVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
777 TANGLEFOOT LN, EYE SURGEONS ASSOCIATES PC, BETTENDORF, IA 52722-1650
(563) 323-2020
(563) 328-5694
Mailing address
777 TANGLEFOOT LN, EYE SURGEONS ASSOCIATES PC, BETTENDORF, IA 52722-1650
(563) 323-2020
(563) 328-5694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02304
IA
152W00000X
Optometrist
046009707
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443077
—
IA
01
—
0740183
IA GROUP MEDICAID
IA
01
—
977130
IL GROUP MEDICARE
IL
Enumeration date
12/19/2005
Last updated
03/04/2014
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