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Amanda Klebeck, LDO

Technician/Technologist, Optician in Melbourne, FL. Individual provider (NPI-1).

NPI number1629985288
StatusActive
Last updated in NPPESAug 27, 2026

Details

NPI
1629985288
Entity type
Individual (NPI-1)
Name
Amanda Klebeck
Credential
LDO
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 27, 2026
Certification date
Aug 27, 2026
Last updated
Aug 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician8337FLYes

Practice location

1000 N Wickham Rd
Melbourne, FL 32935-8937

Phone 321-242-7024

Mailing address

673 John Hancock Ln
West Melbourne, FL 32904-7507

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