DR. MARK JOSEPH REDDAN (NPI# 1558390229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558390229 |
| Entity Type | Individual |
| Full Name | DR. MARK JOSEPH REDDAN |
| Credential | O.D. |
| Practice Address |
900 N Highway 67 Florissant MO 63031-2919 |
| Mailing Address |
7 Old Jamestown Ct Florissant MO 63034-1725 |
| Practice Telephone | 3148380300 |
| Practice Fax Number | 3148384682 |
| Mailing Telephone | (314) 355-6607 |
| Mailing Fax Number | 3147417782 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T02531 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI LICENSE | 257404410 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4750 Mexico Rd Ste 200, Saint Peters, MO 633761668 | 3148380300 |
| Street Address |
900 N HIGHWAY 67 |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| 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 |
|---|---|---|---|---|
| 1639367592 | Reddan Eye Care, Inc. | Optometrist | 119 Jamestown Mall, Florissant, MO 63034-2925 | 2007-10-04 |
| 1730204843 | Christopher M Schrick Od LLC | Optometrist | 12 Grandview Plaza, Florissant, MO 63033 | 2007-03-20 |
| 1003946559 | Metro North Eyecare David M. Picker, O.d., P.C. | Optometrist | 3325 N Us Highway 67, Florissant, MO 63033-1604 | 2007-03-06 |
| 1063547735 | Carol Flewellen Merritt | Optometrist | 45 Black Jack Ct, Florissant, MO 63033-7101 | 2007-02-22 |
| 1336274281 | Marc Richard Brown | Optometrist | 85a Florissant Oaks Shopping Center, Florissant, MO 63031 | 2007-02-22 |
| 1942353461 | Nu-crown, Inc. | Optometrist | 935 N. Hwy 67, Florissant, MO 63031 | 2007-01-19 |
| 1467516138 | Christopher M Schrick | Optometrist | 100 Jamestwn Mll Sc, Florissant, MO 63034 | 2006-12-20 |
| 1336202183 | James William Hartig | Optometrist | 1745 N Hwy 67, Florissant, MO 63033-1901 | 2006-12-19 |
| 1861578643 | Thomas Eric Stickel | Optometrist | 900 N Hwy 67, Florissant, MO 63031 | 2006-10-27 |
| 1124043724 | Jamal James Fox | Optometrist | 3819 Vaile Ave, Florissant, MO 63034-2227 | 2006-07-13 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
Please comment or provide details below to improve the information on DR. MARK JOSEPH REDDAN.
| 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.