Provider Demographics
NPI:1881644003
Name:KLAIR, VIRGINIA A (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:A
Last Name:KLAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 E TACHEVAH DR
Mailing Address - Street 2:SUITE 101E
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-5750
Mailing Address - Country:US
Mailing Address - Phone:760-327-1561
Mailing Address - Fax:760-327-4313
Practice Address - Street 1:555 E TACHEVAH DR
Practice Address - Street 2:SUITE 101E
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-5750
Practice Address - Country:US
Practice Address - Phone:760-327-1561
Practice Address - Fax:760-327-4313
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40251207W00000X
NM2003-0481207W00000X
CAC129924207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO608439600OtherUS DEPT LABOR WORK COM
COKL658704OtherANTHEM
CO15002225Medicaid
CO0452890001OtherMEDICARE DMERC
COC00251OtherEYEMED EYECARE
CO9301071008840OtherEYE SPECIALISTS
CO180046141OtherRAILROAD MEDICARE
NMNM009T59OtherNM BCBS
CO180046141OtherRAILROAD MEDICARE
NM343515100Medicare ID - Type UnspecifiedNM MEDICARE
CACA141243Medicare PIN
CACA141242Medicare PIN
CACA141241Medicare PIN
CO492788Medicare ID - Type Unspecified