Provider Demographics
NPI:1659788727
Name:KLAUSMEYER, LAUREN L (OD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:L
Last Name:KLAUSMEYER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 WALDO AVE.
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6615
Mailing Address - Country:US
Mailing Address - Phone:207-338-1480
Mailing Address - Fax:
Practice Address - Street 1:91 WALDO AVENUE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6615
Practice Address - Country:US
Practice Address - Phone:207-338-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT950152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist