Earl G Gloeckner, M.D., LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EARL G GLOECKNER, M.D., LTD

Practice address

1420 7TH St
Moline, IL 61265-2916

Phone

(309) 762-2333

Fax

(309) 762-8001

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Earl G Gloeckner, M.D.NPI 1154390581

Title

President

Phone

(309) 762-2333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earl G Gloeckner, M.D.

  • Ophthalmology Physician
  • Moline, IL
  • NPI 1154390581
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1942424668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652916",
            "telephone_number": "309-762-2333",
            "fax_number": "309-762-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652916",
            "telephone_number": "309-762-2333",
            "fax_number": "309-762-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL G GLOECKNER, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "GLOECKNER",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-762-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08100437",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Kurtis Duncan, D.C.
• Emma Durbin, RBT
• Milan Durco, MD
• Nathan A Durick, M.D.
• Anna Malgorzata Dymala, M.D.
• Alexander Earnest
• Ciara Echols
• Aric J Eckhardt, MD
• Marian Lynn Edmund, COTA/L
• Eduardo a Millare MD SC

• Ophthalmology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.