Robert Joseph Klinsky, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007494 Issued in IL

Practice address

103 N Pearl St
Lebanon, IL 62254-1511

Phone

(618) 537-6356

Fax

(618) 537-6358

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lebanon Optometric Center, LLC

  • Optometrist
  • Lebanon, IL
  • NPI 1447373378
  Medicare reassignment NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1568407716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N PEARL ST",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541511",
            "telephone_number": "618-537-6356",
            "fax_number": "618-537-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N PEARL ST",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541511",
            "telephone_number": "618-537-6356",
            "fax_number": "618-537-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINSKY",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Michelle Hopp, CTRS
• Blake Hudspeth
• Sherry Katzman, SLP
• Adrienne Klein, PT
• Claire M Klinsky, O.D.
• Lebanon Chiropractic Clinic PC
• Lebanon Community Unit School District 9
• Lebanon Hco, LLC
• Lebanon Hco, LLC
• Lebanon Healthcare LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.