Provider Demographics
NPI:1942451265
Name:LINDA M. KLEINHENZ, OD, PC
Entity Type:Organization
Organization Name:LINDA M. KLEINHENZ, OD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEINHENZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:845-297-3233
Mailing Address - Street 1:153 ALL ANGELS HILL RD
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-3322
Mailing Address - Country:US
Mailing Address - Phone:845-297-3233
Mailing Address - Fax:
Practice Address - Street 1:153 ALL ANGELS HILL RD
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-3322
Practice Address - Country:US
Practice Address - Phone:845-297-3233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003884-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100000509Medicare PIN