MR. CHARLES T STATON SR. (NPI# 1396927166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396927166 |
| Entity Type | Individual |
| Full Name | MR. CHARLES T STATON SR. |
| Practice Address |
1408 N Kingshighway Blvd Saint Louis MO 63113-1400 |
| Practice Telephone | 3143618283 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
1408 N KINGSHIGHWAY BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63113-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750378675 | Larry Paul Stewart | Ophthalmology | 1408 N Kingshighway Blvd, Suite 110, Saint Louis, MO 63113-1400 | 2005-10-05 |
| 1679013643 | City Diagnostics LLC | Preferred Provider Organization | 1408 N Kingshighway Blvd, Suite 224, Saint Louis, MO 63113-1400 | 2017-02-24 |
| 1982146478 | Lory's Loving Care LLC | Home Health | 1408 N Kingshighway Blvd, 103a, Saint Louis, MO 63113-1400 | 2016-11-15 |
| 1073887642 | Dr. Andrea T. Gordon Dds,llc | Dentist | 1408 N Kingshighway Blvd, Saint Louis, MO 63113-1400 | 2012-02-29 |
| 1295725992 | Andrea Thomas Gordon | Dentist | 1408 N Kingshighway Blvd, Suite 110, Saint Louis, MO 63113-1400 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139937 | Kaniya Kashell Smotherman | In Home Supportive Care | 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 | 2018-10-01 |
| 1124530977 | Unique Diamonds, LLC | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2017-11-02 |
| 1821507831 | Another Day At Life LLC | Home Health | 1515 N Warson Rd Suite 103, St. Louis, MO 63113 | 2017-09-21 |
| 1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
| 1164801528 | Brittany Ashcraft | Social Worker | 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 | 2015-05-19 |
| 1538596465 | Enduring Heart In Home Care Services | Home Health | 1012 Sarah, Saint Louis, MO 63113 | 2013-10-10 |
| 1386989127 | Friends of African Amer. Family Service Center | Community/Behavioral Health | 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 | 2012-12-05 |
| 1598018202 | Shelia Latrese Bradford | Home Health | 3637 North Market St, St. Louis, MO 63113 | 2012-10-18 |
| 1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
| 1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
| Find all providers in zip 63113 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760851547 | National Vision, Inc. | Technician/Technologist | 7345 S Lindbergh Blvd Ste B, Saint Louis, MO 63125-4574 | 2015-09-22 |
| 1184905119 | Kimberly Elaine Burford | Technician/Technologist | 6201 Famous Ave, Saint Louis, MO 63139-3043 | 2011-09-05 |
| 1285885673 | Tyrone Aaron Gibson | Technician/Technologist | 5014 Virginia Ave Apt 2w, Saint Louis, MO 63111-1739 | 2008-10-03 |
| 1710161716 | Robert Joseph Gruchala | Technician/Technologist | 6200 Chippewa, Saint Louis, MO 63109-2238 | 2007-12-27 |
| 1467678490 | James Lawton Brown | Technician/Technologist | 9644 Olive Blvd, Saint Louis, MO 63132-3002 | 2007-04-18 |
| 1801918115 | Michael Harris | Technician/Technologist | 745 N New Ballas Rd, Saint Louis, MO 63141-6715 | 2007-04-06 |
| 1558481168 | Alexander Jenkins | Technician/Technologist | 1015 N Grand Blvd, Suite A, Saint Louis, MO 63106-1623 | 2007-03-29 |
| 1225069396 | America's Best Contacts & Eyeglasses | Technician/Technologist | 221 Watson Plz, Saint Louis, MO 63126-1963 | 2006-07-06 |
| 1841221926 | America's Best Contacts & Eyeglasses | Technician/Technologist | 10950 New Halls Ferry Rd, Saint Louis, MO 63136-4435 | 2006-07-06 |
| 1811299621 | Melinda Sue Walters | Technician/Technologist | 9911 Kennerly Rd, Saint Louis, MO 63128-2700 | 2010-11-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63113 |
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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.