Jonathan Michael Klunk, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011750 Issued in IL

Practice address

1819 Homer Adams Pkwy
Alton, IL 62002-5606

Phone

(618) 208-0585

Fax

(618) 208-0586

NPI assigned

Mar 3, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarkson Optometry Illinois, PCGroup PAC ID 7012292147, 16 clinicians

Clarkson Optometry IncGroup PAC ID 0840411799, 82 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathanklunk@direct.eyecare-partners.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clarkson Optometry Illinois, P.C.

  • Optometrist
  • Ballwin, MO
  • NPI 1548635758

  IL

  Medicare reassignment Care Compare group NPD
• Clarkson Optometry, Inc

  • Optometrist
  • Ellisville, MO
  • NPI 1497155345
  Medicare reassignment Care Compare group NPD
• Clarkson Optometry Illinois, P.C.

  • Optometrist
  • Centralia, IL
  • NPI 1730373648
  NPD
• Clarkson Optometry Inc

  • Optometrist
  • Elk River, MN
  • NPI 1952992976
  NPD
• 3F Vision LLC

  • Optometrist
  • Highland, IL
  • NPI 1770866428
  NPD (past)
• Clarkson Optometry Illinois PC

  • Optometrist
  • Shiloh, IL
  • NPI 1457303125
  NPD (past)
• JFJ Eyecare, LTD

  • Optometrist
  • Swansea, IL
  • NPI 1376586685
  NPD (past)
• Clarkson Eyecare

  • Optometrist
  • Eureka, MO
  • NPI 1205817731
  NPD (past)
• Clarkson Optometry Inc

  • Optometrist
  • Arnold, MO
  • NPI 1053364729
  NPD (past)
• Clarkson Optometry Inc

  • Optometrist
  • Pacific, MO
  • NPI 1215980875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1306546916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207163",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207163",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 HOMER ADAMS PKWY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025606",
            "telephone_number": "618-208-0585",
            "fax_number": "618-208-0586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12603 State Route 143 Ste I",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622491199",
            "country_code": "US",
            "telephone_number": "618-882-4262",
            "fax_number": "618-882-4263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3405 Nameoki Rd",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620403709",
            "country_code": "US",
            "telephone_number": "618-219-8909",
            "fax_number": "618-219-8910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6663 Edwardsville Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620252704",
            "country_code": "US",
            "telephone_number": "618-659-2320",
            "fax_number": "618-655-0375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 S State Route 157",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253691",
            "country_code": "US",
            "telephone_number": "618-656-7774",
            "fax_number": "618-656-0536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "IL",
            "postal_code": "622344400",
            "country_code": "US",
            "telephone_number": "618-223-5212",
            "fax_number": "618-223-5213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8031 W Florissant Ave",
            "address_purpose": "LOCATION",
            "city": "Jennings",
            "state": "MO",
            "postal_code": "631361400",
            "country_code": "US",
            "telephone_number": "314-222-2071",
            "fax_number": "314-222-2072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3533 Dunn Rd",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630336783",
            "country_code": "US",
            "telephone_number": "314-838-2100",
            "fax_number": "314-838-0607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUNK",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey H Kiviat, M.D.
• Michael Scott Klein, M.D.
• Kyle Kleinschmidt
• James A Kliefoth, MD
• Mark T Klucka, D.O.
• Leah Knabe, APRN
• Kristin Nicole Knobloch, APRN-CNS
• Staci M Knox, LCSW
• Patricia Nyleen Kolesa, M.S. CCC-SLP
• Stanislav Kovalets

• Optometrist in Alton, IL
• Providers in Alton, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.