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KLEINEBREIL OPTOMETRY PLLC
NPI 1255778270
Optometrist in Gaylord, MI

Active since May 30, 2013
927 S OTSEGO AVE, GAYLORD, MI 49735(989) 732-7518(989) 732-4205 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kleinebreil Optometry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KLEINEBREIL OPTOMETRY PLLC (NPI 1255778270) is a healthcare organization registered as an optometrist in Gaylord, Michigan and active in the NPI registry since May 2013. The organization lists Anna Leah Tanke-kleinebreil, President, as its authorized official.

NPPES Registry Identity

NPI1255778270
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKLEINEBREIL OPTOMETRY PLLC
Location Address927 S OTSEGO AVEGaylord, MI 49735-1783
Mailing AddressPo Box 421Gaylord, MI 49734-0421 · (989) 732-7518 · Fax (989) 732-4205
Phone(989) 732-7518
Fax(989) 732-4205
Organization SubpartNo
Authorized OfficialAnna Leah Tanke-kleinebreilPresident · (231) 215-0103
Enumeration DateMay 30, 2013
Last NPPES UpdateOctober 2, 2013
✔ NPI 1255778270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901004610
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 4901004610 (MI)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 4901004610 (MI)
927 S OTSEGO AVE, Gaylord, MI 49735
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Other Identifiers 2

Medicare NSC6792710001MI
Medicare PIN0N95760MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kleinebreil Optometry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kleinebreil Optometry PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Anna Kleinebreil, O.D.
Optometry
NPI 1932411691
927 S OTSEGO AVE
Gaylord, MI 49735
(989) 732-7518
✔ PECOS✔ Accepts MedicareSame address
Scott Soave, O.D
Optometry
NPI 1629302468
1325 W SOUTH AIRPORT RD
Traverse City, MI 49686
(231) 947-6767
✔ PECOS✔ Accepts Medicare49 mi
Bradley Taylor
Optometry
NPI 1073667937
5728 WHITMORE LAKE RD
Brighton, MI 48116
(810) 227-2357
✔ PECOS178 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kleinebreil Optometry PLLC's NPI number?

The NPI number for Kleinebreil Optometry PLLC is 1255778270. It was assigned to this organization in the NPPES registry on May 30, 2013.

Where is Kleinebreil Optometry PLLC located?

Kleinebreil Optometry PLLC is located at 927 S Otsego Ave, Gaylord, MI 49735. The listed phone number is (989) 732-7518.

What is Kleinebreil Optometry PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kleinebreil Optometry PLLC enrolled in Medicare?

Yes. Kleinebreil Optometry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kleinebreil Optometry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Kleinebreil Optometry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kleinebreil Optometry PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Kleinebreil Optometry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kleinebreil Optometry PLLC was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.