DR. ANGELA JOANN DEMETRULIAS


Address: 5201 Mid America Plz, Saint Louis, MO 63129-0002
Phone: 3145143500

DR. ANGELA JOANN DEMETRULIAS (NPI# 1194013086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194013086
Entity Type Individual
Full Name DR. ANGELA JOANN DEMETRULIAS
Credential OD
Practice Address 5201 Mid America Plz
Saint Louis
MO 63129-0002
Mailing Address 660 S Euclid Ave
C B 8096
Saint Louis
MO 63110-1010
Practice Telephone 3145143500
Practice Fax Number 3142862900
Mailing Telephone 3143623431
Mailing Fax Number 3143626564
Enumeration Date 2011-07-13
Last Update Date 2018-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 2016024156 MO Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 1194013086 05
IL ENROLLED 05

Office Location

Street Address 5201 MID AMERICA PLZ
City SAINT LOUIS
State MO
Zip Code 63129-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346208394 Nicole Marie Ducharme Internal Medicine 5201 Mid America Plz, Saint Louis, MO 63129-0002 2006-05-01
1780180497 John Lucas Runde Specialist/Technologist 5201 Mid America Plz, Saint Louis, MO 63129-0002 2018-04-02
1699290122 Kristen Caroline Kemper Nurse Practitioner 5201 Mid America Plz, Ste 1500, Saint Louis, MO 63129-0002 2017-08-05
1750817342 Anna M Guimbarda Occupational Therapist 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 2017-05-03
1700230646 Prorehab PC Physical Therapist 5201 Mid America Plz, Suite 2600, Saint Louis, MO 63129-0002 2016-04-18
1649631425 Washington University Durable Medical Equipment & Medical Supplies 5201 Mid America Plz, Suite 1500, Saint Louis, MO 63129-0002 2016-03-08
1902265994 Washington University Clinic/Center 5201 Mid America Plz, Suite 2200, Saint Louis, MO 63129-0002 2016-02-18
1831469188 Patricia R Gorenc Physician Assistant 5201 Mid America Plz, Ste 1500, Saint Louis, MO 63129-0002 2012-01-04
1811208267 Anubha Mutneja Internal Medicine 5201 Mid America Plz, Ste 2300, Saint Louis, MO 63129-0002 2010-06-30
1275561086 Steven A Lauter Internal Medicine 5201 Mid America Plz, Saint Louis, MO 63129-0002 2006-06-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447730742 Total Access Urgent Care, PC Clinic/Center 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 2018-08-16
1679061808 Susan Swyers Grogan Occupational Therapist 2806 Flamewood Drive, St. Louis, MO 63129 2018-04-24
1376073981 Eric Piatchek Specialist/Technologist 2661 Bluff Ridge Drive, St. Louis, MO 63129 2017-06-15
1033647144 Keona E Smith Nurse Practitioner 7334 Lindbergh Blvd, Ballwin, MO 63129 2017-06-02
1588036966 Sarah Michelle Corry Occupational Therapist 5043 Telegraph Rd, St Louis, MO 63129 2015-10-26
1598169120 Vivian Carr Counselor 5266 Sir Bors Drive, St. Louis, MO 63129 2014-10-10
1982044327 Andrew Michael Bryant Family Medicine 4280 Mid America Lane, Saint Louis, MO 63129 2013-06-30
1306185533 John Alexander Miller Registered Nurse 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 2013-02-07
1346597457 Pain and Performance Relief LLC Physical Medicine & Rehabilitation 4175 Crescent Dr Ste A, Saint Louis, MO 63129 2012-08-08
1366721516 Teresa Lyn Bitter Speech-Language Pathologist 7325 Summerview Manor Lane, St. Louis, MO 63129 2011-08-05
Find all providers in zip 63129

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194379115 Zhenzhen Gao Optometrist 4531 Mcpherson Ave Apt 203, Saint Louis, MO 63108-1959 2019-07-29
1114579554 Naba Razi Khan Optometrist 9924 Kennerly Rd, Saint Louis, MO 63128-2704 2019-07-16
1164083143 Sara Taylor Optometrist 522 N New Ballas Rd Ste 113, Saint Louis, MO 63141-6820 2019-06-21
1891358115 Essential Eyecare, LLC Optometrist 7256 Pershing Ave Unit B, Saint Louis, MO 63130-4248 2019-04-22
1720517386 Morgan Rebecca Poore Optometrist 555 N New Ballas Rd Ste 310, Saint Louis, MO 63141-6896 2017-06-07
1699157735 Katherine Gettinger Optometrist 28 Maryland Plz, Saint Louis, MO 63108-1526 2015-06-25
1083096523 Courtney Anne Stehlin Optometrist 122 S County Center Way, Saint Louis, MO 63129-1092 2015-06-21
1861836777 Clarkson Optometry Inc Optometrist 3192 S Grand Blvd, Saint Louis, MO 63118-1025 2013-04-22
1790026540 Clarkson Optometry Inc Optometrist 5632 Telegraph Rd # A, Saint Louis, MO 63129-4243 2013-03-04
1538423769 Mark Alan Wilkins Optometrist 5632 Telegraph Rd, Suite A, Saint Louis, MO 63129-4243 2012-07-03
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63129

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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