Provider Demographics
NPI:1477077576
Name:KLEIN, STEVEN BENJAMIN (OD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:BENJAMIN
Last Name:KLEIN
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 1:7202 ROCKLAND HILLS DR UNIT 510
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1152
Mailing Address - Country:US
Mailing Address - Phone:410-371-2557
Mailing Address - Fax:
Practice Address - Street 1:413 S CAMP MEADE RD
Practice Address - Street 2:
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090-2701
Practice Address - Country:US
Practice Address - Phone:410-859-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2593152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist