ST. LOUIS EYE CLINIC (NPI# 1366555690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366555690 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS EYE CLINIC |
| Practice 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 | 2006-08-17 |
| Last Update Date | 2011-09-23 |
| Authorized Official Name | K. V. REDNAM (PRESIDENT) |
| Authorized Official Telephone | 3143529800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| 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 |
| 1255468898 | St. Louis Eye Clinic | Eyewear Supplier (Equipment, not the service) | 135 W Adams Ave, Suite 104, Kirkwood, MO 63122-4043 | 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 |
| Street Address |
4530 HAMPTON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730146531 | Addus Health Care Inc | Home Health | 4530 Hampton Ave, Saint Louis, MO 63109-2238 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871112102 | Thrive St. Louis, Inc | Clinic/Center | 4331 Lindell Blvd, Saint Louis, MO 63108-2701 | 2020-04-16 |
| 1548893530 | Gateway Direct Primary Care Jv LLC | Clinic/Center | 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 | 2020-02-18 |
| 1740722230 | Saint Louis Allergy and Asthma Lc | Clinic/Center | 6651 Chippewa St Ste 312, Saint Louis, MO 63109-2532 | 2016-11-15 |
| 1609245448 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115-2512 | 2015-09-23 |
| 1538586037 | Advanced Cardiovascular Center LLC | Clinic/Center | 2335 Dougherty Ferry Rd, Suite A, Saint Louis, MO 63122-3313 | 2014-03-21 |
| 1871865881 | North County Health Care, Inc | Clinic/Center | 9231 West Florissant, Saint Louis, MO 63136-1432 | 2012-02-07 |
| 1013195478 | Union Manor Residential Care Facility | Clinic/Center | 2711 Union Blvd, Saint Louis, MO 63113-1003 | 2008-02-07 |
| 1497771653 | Instaclinic, LLC | Clinic/Center | 10805 Sunset Office Dr, Suite 300, Saint Louis, MO 63127-1017 | 2006-07-14 |
| 1508867508 | Family Care Health Centers | Clinic/Center | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2005-08-02 |
| 1346847233 | Washington University | Clinic/Center | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2020-10-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
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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.