Provider Demographics
NPI:1730119710
Name:KLEPPER AND TRAINER PARTNERSHIP
Entity Type:Organization
Organization Name:KLEPPER AND TRAINER PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:KLEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:515-295-2196
Mailing Address - Street 1:115 E CALL ST
Mailing Address - Street 2:
Mailing Address - City:ALGONA
Mailing Address - State:IA
Mailing Address - Zip Code:50511-2451
Mailing Address - Country:US
Mailing Address - Phone:515-295-2196
Mailing Address - Fax:515-295-7964
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:515-295-7964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1899152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0737635Medicaid
IAI19174Medicare PIN
IA5825000001Medicare NSC