Provider Demographics
NPI:1861529703
Name:STEVEN T KLEIN OD & KIMBERLY PLATTNER OD A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:STEVEN T KLEIN OD & KIMBERLY PLATTNER OD A PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:B
Authorized Official - Last Name:PLATTNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:619-742-3937
Mailing Address - Street 1:PO BOX 1457
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92067-1457
Mailing Address - Country:US
Mailing Address - Phone:619-743-3937
Mailing Address - Fax:858-756-2804
Practice Address - Street 1:11717 BERNARDO PLAZA CT
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2412
Practice Address - Country:US
Practice Address - Phone:858-487-5555
Practice Address - Fax:858-487-3654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00427373OtherRAILROAD MEDICARE PIN
CAP00203520OtherRAILROAD MEDICARE PIN
CADD0117OtherRAILROAD MEDICARE
CAU20617Medicare UPIN
CADD0117OtherRAILROAD MEDICARE
CAU75395Medicare UPIN
CADD0117Medicare PIN
CAP00203520OtherRAILROAD MEDICARE PIN