John William Kleinhoffer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007969 Issued in IL

Practice address

1312 Mercantile Dr
Woodcrest Plaza
Highland, IL 62249-1240

Phone

(618) 654-9999

Fax

(618) 654-8430

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

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.

• Christina J. Levi O D P C

  • Optometrist
  • Edwardsville, IL
  • NPI 1477703411
  Medicare reassignment NPD
• Christina J. Levi O D P C

  • Optometrist
  • Edwardsville, IL
  • NPI 1033261904
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1992793103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 MERCANTILE DR",
            "address_2": "WOODCREST PLAZA",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491240",
            "telephone_number": "618-654-9999",
            "fax_number": "618-654-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 MERCANTILE DR",
            "address_2": "WOODCREST PLAZA",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491240",
            "telephone_number": "618-654-9999",
            "fax_number": "618-654-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINHOFFER",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail K Johnson
• Ceara Blair Jolliff, LCSW
• Lauren Nicole Jurczak, OTR/L
• K and L Medical, LLC
• Peter S. Kim, M.D.
• Brian Klostermann, MD
• Erica Sue Kniepkamp
• Mallory Korte, PT
• Renae Joan Korte
• Eric Bernard Kosel, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.