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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 2016024156 | MO | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1194013086 | 05 | |
IL | ENROLLED | 05 |
Street Address |
5201 MID AMERICA PLZ |
City | SAINT LOUIS |
State | MO |
Zip Code | 63129-0002 |
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 |
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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 Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
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] |
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 |
City | SAINT LOUIS |
Zip Code | 63129 |
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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.