20/20 OPTICAL, LLC (NPI# 1396781829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396781829 |
| Entity Type | Organization |
| Organization Name | 20/20 OPTICAL, LLC |
| Other Organization Name | 20/20 OPTICAL |
| Practice Address |
2952 Dougherty Ferry Rd Kirkwood MO 63122-3366 |
| Mailing Address |
329 Carr Manor Ct Ballwin MO 63021-3304 |
| Practice Telephone | 6368252625 |
| Mailing Telephone | 6365274097 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2009-12-01 |
| Authorized Official Name | SAMEENA SULTANA KHAN (OPTOMETIST/OFFICE MANAGER) |
| Authorized Official Telephone | 6368252625 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TO3449 | MO | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| 20/20 Optical | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609323849 | 20/20 Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1302 Ne Highway 99w, Mcminnville, OR 97128-2723 | 2016-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | 20/20 OPTICAL, LLC | 15 East Washington Street, Glens Falls, Ny 12801 |
| Street Address |
2952 DOUGHERTY FERRY RD |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-3366 |
| 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 | 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 |
|---|---|---|---|---|
| 1407252240 | Kirkwood Eye Associates LLC | Optometrist | 1013 Plaza Ter, Kirkwood, MO 63122-2448 | 2014-11-05 |
| 1407143175 | Andrew Joseph Biondo | Optometrist | 200s Kirkwood Rd 100, Kirkwood, MO 63122-4335 | 2011-07-01 |
| 1932227485 | O'donnell Eye Institute, Inc. | Optometrist | 1034 S Kirkwood Rd, Kirkwood, MO 63122-7200 | 2007-03-26 |
| 1275682908 | Lorie Michelle Mcreynolds | Optometrist | 11023 Manchester Rd, Kirkwood, MO 63122-1254 | 2007-01-10 |
| 1205983400 | Richard R Hartig | Optometrist | 144 W Adams Ave, Kirkwood, MO 63122-4023 | 2007-01-03 |
| 1295731347 | Karen Brahm | Optometrist | 730 S Kirkwood Rd, Kirkwood, MO 63122-5929 | 2005-06-23 |
| 1285944132 | West County Vision Center LLC | Optometrist | 11023 Manchester Rd, Kirkwood, MO 63122-1254 | 2010-10-13 |
| 1104056639 | Barbara Balabas | Optometrist | 343 S Kirkwood Rd, Kirkwood, MO 63122-4015 | 2009-07-17 |
| 1932315876 | Maureen Laura Finch | Optometrist | 1202 S Kirkwood Rd, Kirkwood, MO 63122-7225 | 2007-05-15 |
| 1427111319 | Martha C Beebe | Optometrist | 1042 S Kirkwood Rd, Kirkwood, MO 63122-7200 | 2006-12-19 |
| Find all providers in KIRKWOOD | ||||
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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.