Kleinebreil Optometry PLLC
NPI 1255778270ActiveOrganization· Optometrist· Gaylord, MI
Optometrist in Gaylord, Michigan, registered in NPPES in May 2013. The authorized official on file is Anna Leah Tanke-Kleinebreil, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255778270 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2013 |
| Last updated in NPPES | Oct 2, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901004610 | MI |
| Optometrist, Corneal and Contact Management | 152WC0802X | 4901004610 | MI |
| Optometrist, Low Vision Rehabilitation | 152WL0500X | 4901004610 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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