Provider Demographics
NPI:1992291132
Name:KLAUER OPTOMETRY PC
Entity type:Organization
Organization Name:KLAUER OPTOMETRY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:KLAUER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:563-557-1010
Mailing Address - Street 1:1705 DELHI ST UPPR LEVEL
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-5900
Mailing Address - Country:US
Mailing Address - Phone:563-557-1010
Mailing Address - Fax:563-557-1073
Practice Address - Street 1:1705 DELHI ST UPPR LEVEL
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001
Practice Address - Country:US
Practice Address - Phone:563-557-1010
Practice Address - Fax:563-557-1073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA092709152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty