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Physician Compare National (NPI:1518305622)

HEALTHCARE PROVIDER: LINDSAY KLEVE O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1518305622
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1355573528
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20140423000184
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KLEVE
Individual professional last name
Provider First Name LINDSAY
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Individual professional's medical school
Graduation Year 2013
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name FOCUS EYE CARE PC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 6406100684
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1155 SE ALICES RD
Group Practice or individual's line 1 address
Line 2 Street Address FOCUS EYE CARE
Group Practice or individual's line 2 address
City WAUKEE
Group Practice or individual's city
State IA
Group Practice or individual's state
Zip Code 502639669
Group Practice or individual's zip code (9 digits when available)
Phone Number 5152642445
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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