Healthcare Provider Details

I. General information

NPI: 1376924779
Provider Name (Legal Business Name): STEVEN MATTHEW KLEEN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11101 S PARKER RD
PARKER CO
80134-4773
US

IV. Provider business mailing address

6432 STABLECROSS TRL
CASTLE PINES CO
80108-9541
US

V. Phone/Fax

Practice location:
  • Phone: 805-722-4748
  • Fax:
Mailing address:
  • Phone: 805-722-4748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.0004183
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number15248
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: