Provider Demographics
NPI:1902936990
Name:KLAUER OPTICAL CO.
Entity Type:Organization
Organization Name:KLAUER OPTICAL CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:D
Authorized Official - Last Name:KLAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-557-1010
Mailing Address - Street 1:4330 CZECH LN NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2334
Mailing Address - Country:US
Mailing Address - Phone:319-378-0066
Mailing Address - Fax:
Practice Address - Street 1:4330 CZECH LN NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2334
Practice Address - Country:US
Practice Address - Phone:319-378-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier