Provider Demographics
NPI:1073522256
Name:KLEINSTEIN, ROBERT (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:KLEINSTEIN
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 1:1716 UNIVERSITY BLVD
Mailing Address - Street 2:HPB G080A
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-0010
Mailing Address - Country:US
Mailing Address - Phone:205-975-2020
Mailing Address - Fax:205-934-6755
Practice Address - Street 1:1716 UNIVERSITY BLVD
Practice Address - Street 2:HPB G080A
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-0010
Practice Address - Country:US
Practice Address - Phone:205-975-2020
Practice Address - Fax:205-934-6755
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS379TA050152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000059872Medicaid
AL051059872OtherBLUE CROSS BLUE SHIELD
LA1585939Medicaid
AL51059372OtherBCBS OF ALABAMA
AL636005396OtherVISION SERVICE PLAN
ALT68947OtherVIVA HEALTH
AL000059372Medicaid
MS00604855Medicaid
AL000059372Medicare PIN
ALT68957Medicare UPIN
AL000059372Medicaid
AL51059372OtherBCBS OF ALABAMA
AL051059872OtherBLUE CROSS BLUE SHIELD
LA1585939Medicaid
AL000059872Medicare PIN