DR. LISA THATCH (NPI# 1548210032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548210032 |
| Entity Type | Individual |
| Full Name | DR. LISA THATCH |
| Credential | O.D. |
| Practice Address |
2698 Gravois Rd High Ridge MO 63049-2508 |
| Practice Telephone | 6366771166 |
| Practice Fax Number | 6366771324 |
| Mailing Telephone | 6366771166 |
| Mailing Fax Number | 6366771324 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2003014792 | MO | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 046-009535 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE NSC NUMBER | 0814870023 | 01 |
| IL | MEDICARE NSC NUMBER | 0814870026 | 01 |
| EYEMED | IL9535 | 01 | |
| IL | MEDICARE NSC NUMBER | 0814870010 | 01 |
| IL | 046009535 | 05 | |
| HEALTH ALLIANCE | 087817 | 01 | |
| HARMONY HEALTH PLAN | 252039 | 01 | |
| IL | MEDICARE RAILROAD | P00040122 | 01 |
| Street Address |
2698 GRAVOIS RD |
| City | HIGH RIDGE |
| State | MO |
| Zip Code | 63049-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235182981 | Clarkson Optometry Inc | Optometrist | 2698 Gravois Rd, High Ridge, MO 63049-2508 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366084766 | Danielle Hawkins | Registered Nurse | 324 Emerson, High Ridge, MO 63049 | 2019-10-17 |
| 1326320672 | Martin Kevin Eresh | Dentist | 1412-a Old Gravois Rd, High Ridge, MO 63049 | 2011-09-13 |
| 1013247048 | Casey Michelle Stoff | Speech-Language Pathologist | 2901 High Ridge Blvd, High Ridge, MO 63049 | 2010-01-14 |
| 1912123050 | Frederick H. Fischer, D.d.s., P.C. | Dentist | 2817 High Ridge Blvd., High Ridge, MO 63049 | 2007-04-17 |
| 1215099072 | Thomas Gerard Monti | Chiropractor | 1600 Gravois, High Ridge, MO 63049 | 2006-12-15 |
| 1578106548 | Melinda Williams | Licensed Practical Nurse | 324 Emerson Rd, High Ridge, MO 63049 | 2019-10-23 |
| 1699318667 | Kimberly Molina | Case Manager/Care Coordinator | 324 Emerson Rd, High Ridge, MO 63049 | 2019-10-23 |
| 1285276949 | Katie Marshall | Case Manager/Care Coordinator | 324 Emerson Rd, High Ridge, MO 63049 | 2019-10-15 |
| 1306322193 | Dylan Anthony Biondo | Pharmacist | 20 Dillon Plaza Dr, High Ridge, MO 63049 | 2018-07-14 |
| 1780955732 | Jena Marie Hudkins | Social Worker | 324 Emerson Rd, High Ridge, MO 63049 | 2012-01-23 |
| Find all providers in zip 63049 | ||||
| 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 |
|---|---|---|---|---|
| 1235182981 | Clarkson Optometry Inc | Optometrist | 2698 Gravois Rd, High Ridge, MO 63049-2508 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553373 | Eye Surgery Consultants LLC | Optometrist | 2530 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2436 | 2020-09-16 |
| 1811500069 | Pec Chesterfield, LLC | Optometrist | 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | 2020-08-27 |
| 1700402500 | Robert William Duncan | Optometrist | 341a N Creek Dr, Festus, MO 63028-2657 | 2020-06-18 |
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013532464 | Novack Vision Care, LLC | Optometrist | 1166 W 103rd St, Kansas City, MO 64114-4511 | 2020-06-11 |
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1275158859 | Krystal Rae Adams Matson | Optometrist | 608 N Maguire St, Warrensburg, MO 64093-1420 | 2020-06-10 |
| 1720601719 | Katelyn Hardy | Optometrist | 601 E Russell Ave Ste A, Warrensburg, MO 64093-9601 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
| City | HIGH RIDGE |
| Zip Code | 63049 |
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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.