Holly Renee Klein, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2009017119 Issued in MO

Practice address

5915 N Illinois St
Fairview Heights, IL 62208-2710

Phone

(618) 222-1244

NPI assigned

Jul 17, 2009

Sex

Female

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

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 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rose Optical, Inc. 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rose Optical, Inc.

  • Optometrist
  • Godfrey, IL
  • NPI 1669444063

  IL, Optometrist

  Medicare reassignment Care Compare group NPD
• Illini Optometric PC

  • Optometrist
  • Godfrey, IL
  • NPI 1780850032
  NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1891880977
  NPD (past)
• Advanced Neuro Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Chesterfield, MO
  • NPI 1376822791
  NPD (past)

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1407086945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CEDAR PARK DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315203",
            "telephone_number": "314-630-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 N ILLINOIS ST",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082710",
            "telephone_number": "618-222-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "HOLLY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2009017119",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kelly, FNP-C
• Kaitlin Marie Kent, MA QMHP
• Desnikka Kilpatrick
• Kinetic Health and Performance
• Kristen Ashley King
• Amy Luna Knox, CNS
• Dianna Koesterer
• Abigail K Konecki
• Nicole Kovacic
• Alison Krack, DPT

• All providers in Fairview Heights, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.