Vivian M. Kloke, OD

Optometrist · O Fallon, IL

Individual Active NPI

NPI number 1346358645

Practice location

735 Insight Ave
O Fallon, IL 62269-2193
Phone
(618) 628-2903
Fax
(618) 628-2913

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NPI record

NPI
1346358645
Entity type
Individual (Type 1)
Enumeration date
August 27, 2006
Last updated
December 12, 2019
Certified
December 12, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046008375 IL

About Dr. Kloke

Vivian M. Kloke, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 735 Insight Ave, O Fallon, IL 62269-2193. The NPI number 1346358645 was assigned on August 27, 2006 and the record was last updated on December 12, 2019.

Dr. Kloke lists a license in the registry: #046008375 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Vivian M. Kloke, OD?

The NPI number is 1346358645.

What is the phone number of Dr. Kloke?

The phone number listed for the practice location is (618) 628-2903.

Where is Dr. Kloke located?

735 Insight Ave, O Fallon, IL 62269-2193.

What is the taxonomy code for Dr. Kloke?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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