FRED JR. KLUTTS (OD) – Optometrist, NPI 1255496170

Optometrist

FRED JR. KLUTTS (OD) is a healthcare provider. based in San antonio, Texas. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 0830DT (KY). The NPI Number for FRED JR. KLUTTS (OD) is 1255496170

Main info

Male

51 Years Of Experience

Accepts Medicare Assignment

Name

FRED JR. KLUTTS (OD)

NPI

1255496170

Phone

(210) 524-6663

Address

11103 WEST AVE

Enumeration Date

22 December 2006

Last Update Date

27 September 2016

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2704432090

Graduation Year

1975 (51 years ago)

PAC ID

6709937253

Group Practice PAC ID

0941108732

Professional Enrollment ID

I20090624000300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for FRED JR. KLUTTS (OD)

West Avenue, The Bronx, Bronx County, New York, 10462, United States
SUITE 6
SAN ANTONIO, TX 782131370
Phone: (210) 524-6663
Fax: (210) 524-6587
Type: Mailing
3910, Hinkleville Road, Paducah, McCracken County, Kentucky, 42001, United States
PADUCAH, KY 420019017
Phone: (270) 443-2090
Fax: (270) 444-2086
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78213)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0941108732View full group profile

Name	Specialty	State
DR. MOHAMED SHABIR BHARADIA (OD)	-	SC
ZACHARY VONDERACH (O.D.)	-	NY
MS. AMY DENISE HENSON (OD)	O P T O M E T R Y	KY
DR. SARAH ELIZABETH SALEE (OD)	O P T O M E T R Y	IN
DR. REBECCA GREEN	-	KY
DR. ALAN MICHAEL CANTRELL (O.D.)	O P T O M E T R Y	AE
STEVE LAWRENCE (OD)	-	IN
KATIE CLARK (OD)	O P T O M E T R Y	MN
DR. JAMES FRED JR. BUCKNER (DOCTOR OF OPTOMETRY)	O P T O M E T R Y	KY
DALE SOULEYRETTE (OD)	O P T O M E T R Y	TX