Provider Demographics
NPI:1427084789
Name:KLEPPER, ALAN R (OD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:R
Last Name:KLEPPER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 W VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ALGONA
Mailing Address - State:IA
Mailing Address - Zip Code:50511-7269
Mailing Address - Country:US
Mailing Address - Phone:515-295-5827
Mailing Address - Fax:
Practice Address - Street 1:115 E CALL ST
Practice Address - Street 2:
Practice Address - City:ALGONA
Practice Address - State:IA
Practice Address - Zip Code:50511-2451
Practice Address - Country:US
Practice Address - Phone:515-295-2196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1899152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1899OtherSTATE LICENSE #
IA2069328Medicaid
IA5825000001Medicare NSC
IAT91761Medicare UPIN
IA1899OtherSTATE LICENSE #