Provider Demographics
NPI:1669517702
Name:SCHUCHERT AND KLEPPER PC
Entity type:Organization
Organization Name:SCHUCHERT AND KLEPPER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OD
Authorized Official - Prefix:
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:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1560 1899152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0182899Medicaid
IA0295150001Medicare UPIN
IA47105Medicare ID - Type Unspecified