Basic Information
| Provider Information | |||||||||
| NPI: | 1407161771 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FREELAND | ||||||||
| FirstName: | KLAUS | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4790 BARKLEY CIR | ||||||||
| Address2: | STE C103 | ||||||||
| City: | FORT MYERS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 339077593 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2399368686 | ||||||||
| FaxNumber: | 2399362532 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 CAISSON HILL RD | ||||||||
| Address2: | |||||||||
| City: | FORT RILEY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 664427037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852407335 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2010 | ||||||||
| LastUpdateDate: | 06/07/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | ME133578 | FL | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207W00000X | 0116023061 | VA | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207W00000X | 35.099598 | OH | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.