| 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 | 35 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: Accepting Medicare Assignments 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 | |
Oneopto Il 2 Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1222 Central Park Dr, O Fallon, IL 62269 Phone: 618-628-7800 Fax: 618-628-7802 | |
Blink Llc 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 |