DOUGLAS G ROSE (NPI# 1285654418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285654418 |
| Entity Type | Individual |
| Full Name | DOUGLAS G ROSE |
| Credential | OD |
| Practice Address |
390 Mid Rivers Mall Dr Suite 290 Saint Peters MO 63376-1565 |
| Mailing Address |
40 E North St Eureka MO 63025-1205 |
| Practice Telephone | 6362792020 |
| Practice Fax Number | 6362791055 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6369382650 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2002016606 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1285654418 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801104070 | Douglas Rose | Counselor | 507 E 18th St, Cheyenne, WY 82001-4617 | 2010-09-21 |
| 1700018504 | Douglas W Rose | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2009-08-13 |
| 1831290485 | Douglas R Rose | Emergency Medicine | 1500 Sw 10th Ave, Topeka, KS 66604-1301 | 2006-09-26 |
| 1053345694 | Douglas F Rose | Psychiatry & Neurology | 3333 Burnet Ave, Ml 2015, Cincinnati, OH 45229-3039 | 2006-07-10 |
| 1003892027 | Douglas J. Rose | Family Medicine | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2005-12-21 |
| Street Address |
390 MID RIVERS MALL DR SUITE 290 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| 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 |
|---|---|---|---|---|
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1366883472 | Seth Martin Bachelier | Optometrist | 1325 Queens Ct Ste G, Saint Peters, MO 63376-7375 | 2013-07-17 |
| 1730217571 | Lori J Elliott | Optometrist | 3821 Veterans Memorial Pkwy, Saint Peters, MO 63376-6416 | 2007-03-01 |
| 1972640977 | James Leland Jacob | Optometrist | 6664 Mexico Rd, Saint Peters, MO 63376-4131 | 2007-01-31 |
| 1912065137 | Nu-crown, LLC | Optometrist | 569 Mid Rivers Mall Dr, Saint Peters, MO 63376-2152 | 2006-12-04 |
| 1932273760 | Stephen Matthew Garnett | Optometrist | 500 Jungermann Rd, Suite 202, Saint Peters, MO 63376-2774 | 2006-11-20 |
| 1619050002 | Edward Charles Appelman | Optometrist | 100 Piper Hill Dr, Suite D, Saint Peters, MO 63376-1616 | 2006-10-23 |
| 1942392410 | Keeton Vision Care, Inc. | Optometrist | 5901 Mexico Rd, Saint Peters, MO 63376-1613 | 2006-09-29 |
| 1811089097 | Curators of The University of Missouri | Optometrist | 3004 S. St. Peters Pkwy, #1, Saint Peters, MO 63303-6354 | 2006-09-28 |
| 1669580882 | John C Lyman | Optometrist | 2330 Mid Rivers Mall, Saint Peters, MO 63376-4377 | 2006-08-28 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.