ST. LOUIS EYE CLINIC (NPI# 1255468898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255468898 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS EYE CLINIC |
| Practice Address |
135 W Adams Ave Suite 104 Kirkwood MO 63122-4043 |
| Mailing Address |
4530 Hampton Ave Saint Louis MO 63109-2238 |
| Practice Telephone | 3143529800 |
| Practice Fax Number | 3143524290 |
| Mailing Telephone | 3143529800 |
| Mailing Fax Number | 3143524290 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | K. V. REDNAM (OPHTHALMOLOGIST) |
| Authorized Official Telephone | 3143529800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104953660 | St. Louis Eye Clinic | Eyewear Supplier (Equipment, not the service) | 1145 E Gannon Dr, Festus, MO 63028-2611 | 2007-02-28 |
| 1629105259 | St. Louis Eye Clinic | Eyewear Supplier (Equipment, not the service) | 2900 Lemay Ferry Rd, Suite 120, Saint Louis, MO 63125-3900 | 2007-02-28 |
| 1366555690 | St. Louis Eye Clinic | Ophthalmology | 4530 Hampton Ave, Saint Louis, MO 63109-2238 | 2006-08-17 |
| Street Address |
135 W ADAMS AVE SUITE 104 |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235242645 | K. V. Rednam | Ophthalmology | 135 W Adams Ave, Suite 302, Kirkwood, MO 63122-4043 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780069302 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 1050 S Kirkwood Rd, Unit C, Kirkwood, MO 63122-7200 | 2015-07-24 |
| 1619027240 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1042 S Kirkwood, Kirkwood, MO 63122-7200 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1942842208 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2111 Missouri Blvd, Jefferson City, MO 65109-4773 | 2019-10-08 |
| 1306346630 | Murphy Watson Burr Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 707 N 36th St Ste A, Saint Joseph, MO 64506-3080 | 2018-02-13 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 1942727037 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 307 Nichols Rd, Kansas City, MO 64112-1526 | 2017-08-29 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
| 1659829505 | Eyedeology Vision Center LLC | Eyewear Supplier (Equipment, not the service) | 3629 N Lindbergh Blvd, Saint Ann, MO 63074-2106 | 2016-09-20 |
| 1477009397 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 80 West County Center, St. Louis, MO 63131-3701 | 2016-08-31 |
| 1851847396 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12597 Olive Blvd., Creve Coeur, MO 63141-6311 | 2016-08-25 |
| Find all providers with the same taxonomy | ||||
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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.