Provider Demographics
NPI:1386876985
Name:STEVEN R KLEEN OPTOMETRIC CORPORATION
Entity type:Organization
Organization Name:STEVEN R KLEEN OPTOMETRIC CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:KLEEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:909-792-3457
Mailing Address - Street 1:2745 MOLIERE CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-0316
Mailing Address - Country:US
Mailing Address - Phone:909-792-3457
Mailing Address - Fax:909-307-1863
Practice Address - Street 1:2050 W REDLANDS BLVD
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-6228
Practice Address - Country:US
Practice Address - Phone:909-792-3457
Practice Address - Fax:909-307-1863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-14
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty