Individual
MS. VIVIAN M KLOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
735 INSIGHT AVE, O FALLON, IL 62269-2193
(618) 628-2903
(618) 628-2913
Mailing address
735 INSIGHT AVE, O FALLON, IL 62269-2193
(618) 628-2903
(618) 628-2913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008375
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008375
—
IL
01
—
08206037
BCBS
IL
01
—
1801926340
TIN FOR OFFICE
IL
01
—
2202035
UNITED HEALTHCARE
—
01
—
259903
HEALTHLINK
IL
01
—
400662
GROUP HEALTH PLAN
—
Enumeration date
08/27/2006
Last updated
12/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us