Michael Walter Kline, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2012011384 Issued in MO

Practice address

4200 Rusty Rd
Saint Louis, MO 63128-1973

Phone

(314) 894-7951

Fax

(314) 894-7977

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344729600000",
    "number": "1689680886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 RUSTY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281973",
            "telephone_number": "314-894-7951",
            "fax_number": "314-894-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 RUSTY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281973",
            "telephone_number": "314-894-7951",
            "fax_number": "314-894-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "MICHAEL",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007659",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002155",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012011384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Lee Kliewer, MS, CCC-SLP
• Nicholas Arthur Klimeck-Jones, PA
• Courtney Kline, OTR/L
• Emma M Kline, DO
• Jaclyn Kline, BCBA, LBA, LPC
• Peyton Kline
• Jayanti Klingensmith
• Mary E Klingensmith, MD
• Molly Klingler
• Eva Sari Klinman, MD

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.