EYEWEARHAUS, INC (NPI# 1619139367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619139367 |
| Entity Type | Organization |
| Organization Name | EYEWEARHAUS, INC |
| Practice Address |
745 N New Ballas Rd Saint Louis MO 63141-6715 |
| Practice Telephone | 3145677423 |
| Practice Fax Number | 3145677562 |
| Mailing Telephone | 3145677423 |
| Mailing Fax Number | 3145677562 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | MR. MICHAEL L HARRIS (PRESIDENT) |
| Authorized Official Telephone | 3145677423 |
| Authorized Official Credential | ABOC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
745 N NEW BALLAS RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801918115 | Michael Harris | Technician/Technologist | 745 N New Ballas Rd, Saint Louis, MO 63141-6715 | 2007-04-06 |
| 1184889701 | Earl S Changar Od Faa Opc | Optometrist | 745 N New Ballas Rd, Saint Louis, MO 63141-6715 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 1689090417 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 34 S County Center Way, Saint Louis, MO 63129-1007 | 2014-03-18 |
| 1780855379 | Brusatti Eye Care, LLC | Eyewear Supplier (Equipment, not the service) | 5143 Daggett Ave, Saint Louis, MO 63110-3009 | 2008-03-21 |
| 1518158617 | Moc Acquisition Corporation | Eyewear Supplier (Equipment, not the service) | 2360 59th St, Saint Louis, MO 63110-2812 | 2007-08-05 |
| 1578773073 | Gateway Optical Service Inc. | Eyewear Supplier (Equipment, not the service) | 18 Kirkham Industrial Dr, Saint Louis, MO 63119-1754 | 2007-05-23 |
| 1134269285 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 73 S County Ctr, South County Mall Ste #73, Saint Louis, MO 63129-1006 | 2007-02-07 |
| 1205902632 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 474 Crestwood Plaza, Saint Louis, MO 63126-1704 | 2006-11-28 |
| 1366541419 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 122 S County Center Way Ste A, Saint Louis, MO 63129-1092 | 2006-09-22 |
| 1740702323 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 4255 Hampton Ave, Saint Louis, MO 63109-2120 | 2017-07-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.