ST LOUIS UNIVERSITY (NPI# 1316159205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316159205 |
| Entity Type | Organization |
| Organization Name | ST LOUIS UNIVERSITY |
| Other Organization Name | SLUCARE DEPT OF OPHTHALMOLOGY-OPTOMETRIST-LOW VISION REHAB |
| Practice Address |
1755 S Grand Blvd Saint Louis MO 63104-1540 |
| Mailing Address |
1831 Chestnut St Ste 650 Saint Louis MO 63103-2236 |
| Practice Telephone | 3145776038 |
| Mailing Telephone | 3149776828 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | ALYCE LANXON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3149776828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| SLUCARE DEPT OF OPHTHALMOLOGY-OPTOMETRIST-LOW VISION REHAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487869863 | St Louis University | Eyewear Supplier (Equipment, not the service) | 1755 South Grand, St Louis, MO 63104 | 2007-05-11 |
| 1194892463 | St Louis University | Orthopaedic Surgery | 1831 Chestnut St Ste 650, Saint Louis, MO 63103 | 2006-11-29 |
| 1093894842 | St Louis University | Internal Medicine | 10 Franklin, Washington, MO 63090 | 2006-11-03 |
| 1417035759 | St Louis University | Audiologist | 3750 Lindell, St Louis, MO 63108 | 2006-11-02 |
| 1992778237 | St Louis University | Urology | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2006-02-08 |
| 1164495412 | St Louis University | Pathology | 1402 South Grand, St Louis, MO 63104 | 2006-02-08 |
| 1801869136 | St Louis University | Psychiatry & Neurology | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2006-02-08 |
| 1740253095 | St Louis University | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2006-02-08 |
| 1184266413 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2019-10-08 |
| 1184908865 | St Louis University | Urology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-09-29 |
| Street Address |
1755 S GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740253095 | St Louis University | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2006-02-08 |
| 1295363372 | Jordan Benjamin Leynes | Physician Assistant | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2020-04-01 |
| 1366936411 | Gabriela Madeleine Morris | Internal Medicine | 1755 S Grand Blvd, Saint Louis, MO 63104 | 2018-06-20 |
| 1891228425 | Madelyn Farrell Oliver Jeter | Student in an Organized Health Care Education/Training Program | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2017-04-10 |
| 1982079810 | Claudia Sophia Morr Verenzuela | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2015-12-03 |
| 1528447125 | Kristin Colleen Smith | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2015-05-28 |
| 1205213253 | Ashley Mcwilliams | Student in an Organized Health Care Education/Training Program | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2015-04-29 |
| 1154714202 | Heidi Elaine Roeder | Physician Assistant | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2015-03-13 |
| 1134534811 | Jennifer Albus Fehlman | Dermatology | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2014-06-21 |
| 1124446588 | Saniya Shaikh | Student in an Organized Health Care Education/Training Program | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265496871 | Thomas I Porter | Optometrist | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2006-04-12 |
| 1942661186 | St Louis Society for The Blind | Optometrist | 8770 Manchester Rd, Saint Louis, MO 63144-2724 | 2016-03-16 |
| 1588786750 | The Low Vision Center of St Louis Inc | Optometrist | 10000 Watson Rd, Suite 2p, Saint Louis, MO 63126-1854 | 2007-04-06 |
| 1366581142 | Ronald Joseph Knox | Optometrist | 10000 Watson Rd, Ste 2p, Saint Louis, MO 63126-1854 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386952927 | Vision Rehabiliation Center of The Ozarks | Optometrist | 1661 W Elfindale St, Springfield, MO 65807-1287 | 2010-09-16 |
| 1730355934 | Joplin Association for The Blind | Optometrist | 311 S Schifferdecker Ave, Joplin, MO 64801-3317 | 2008-05-07 |
| 1386776714 | Susan Cerneka Dreyer | Optometrist | 12536 Olive Boulevard, Suite B, Creve Coeur, MO 63146 | 2007-03-12 |
| 1942590864 | Vision Rehabilitation Center of The Ozarks | Optometrist | 1661 W Elfindale St, Springfield, MO 65807-1287 | 2011-04-12 |
| 1548564834 | Kevin Mcquitty Harris | Optometrist | 614 E 9th St, Trenton, MO 64683-2211 | 2010-12-31 |
| 1689845323 | Hart Family Eyecare, LLC | Optometrist | 808 N Kentucky Ave, West Plains, MO 65775-2023 | 2008-03-21 |
| 1720009178 | Joseph H Maino | Optometrist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2006-07-21 |
| City | SAINT LOUIS |
| Zip Code | 63104 |
Please comment or provide details below to improve the information on ST LOUIS UNIVERSITY.
| 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.