Ms Vivian M Kloke, OD | |
735 Insight Ave, O Fallon, IL 62269-2193 | |
(618) 628-2903 | |
(618) 628-2913 |
Full Name | Ms Vivian M Kloke |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 34 Years |
Location | 735 Insight Ave, O Fallon, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346358645 | NPI | - | NPPES |
2202035 | Other | UNITED HEALTHCARE | |
1801926340 | Other | IL | TIN FOR OFFICE |
259903 | Other | IL | HEALTHLINK |
08206037 | Other | IL | BCBS |
046008375 | Medicaid | IL | |
400662 | Other | GROUP HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046008375 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Eye Care Of Ofallon Pc | 6204926843 | 4 |
Provider Name | Family Eye Care Of Ofallon Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801926340 PECOS PAC ID: 6204926843 Enrollment ID: O20071219000451 |
Mailing Address | Practice Location Address |
---|---|
Ms Vivian M Kloke, OD 735 Insight Ave, O Fallon, IL 62269-2193 Ph: (618) 628-2903 | Ms Vivian M Kloke, OD 735 Insight Ave, O Fallon, IL 62269-2193 Ph: (618) 628-2903 |
Sherri Morris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1350 W Highway 50, O Fallon, IL 62269 Phone: 618-632-3195 Fax: 618-632-4083 | |
Dr. Matthew Charles Falconer, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1003 E Wesley Dr Ste A, O Fallon, IL 62269 Phone: 618-624-3937 | |
Dr. David D Ernst, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 735 Insight Ave, O Fallon, IL 62269 Phone: 618-628-2903 Fax: 618-628-2913 | |
Mrs. Kelli E Cadion Crago, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 735 Insight Ave, O Fallon, IL 62269 Phone: 618-628-2903 Fax: 618-628-2913 | |
Lakepointe Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1003 E Wesley Dr, Ste A, O Fallon, IL 62269 Phone: 618-624-3937 Fax: 618-624-3940 | |
Holly Regel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 735 Insight Ave, O Fallon, IL 62269 Phone: 618-628-2903 Fax: 618-628-2913 |