ST. LOUIS EYE CLINIC (NPI# 1629105259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629105259 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS EYE CLINIC |
| Practice Address |
2900 Lemay Ferry Rd Suite 120 Saint Louis MO 63125-3900 |
| Mailing Address |
4530 Hampton Ave Saint Louis MO 63109-2238 |
| Practice Telephone | 3143529800 |
| Practice Fax Number | 3143524290 |
| Mailing Telephone | 3143529800 |
| Mailing Fax Number | 3143524290 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | DR. WILLIAM J SCIORTINO (OPHTHALMOLOGIST) |
| Authorized Official Telephone | 3143529800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104953660 | St. Louis Eye Clinic | Eyewear Supplier (Equipment, not the service) | 1145 E Gannon Dr, Festus, MO 63028-2611 | 2007-02-28 |
| 1255468898 | St. Louis Eye Clinic | Eyewear Supplier (Equipment, not the service) | 135 W Adams Ave, Suite 104, Kirkwood, MO 63122-4043 | 2007-02-28 |
| 1366555690 | St. Louis Eye Clinic | Ophthalmology | 4530 Hampton Ave, Saint Louis, MO 63109-2238 | 2006-08-17 |
| Street Address |
2900 LEMAY FERRY RD SUITE 120 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63125-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447336 | Laura Ruth Hulbert | Obstetrics & Gynecology | 2900 Lemay Ferry Rd, Suite 228, Saint Louis, MO 63125-3900 | 2005-06-16 |
| 1265892830 | Ams Medical Laboratory Inc | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Suite 205, Saint Louis, MO 63125-3900 | 2016-02-25 |
| 1083081426 | Triad Labs Inc | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Ste 205, Saint Louis, MO 63125-3900 | 2015-09-01 |
| 1922482496 | St. Anthony's Physician Organization | Internal Medicine | 2900 Lemay Ferry Rd, Ste 104, Saint Louis, MO 63125-3900 | 2015-07-15 |
| 1306252457 | Kimberly Manning | Nurse Practitioner | 2900 Lemay Ferry Rd, Ste 104, Saint Louis, MO 63125-3900 | 2014-07-09 |
| 1184055386 | Thyroid Specialty Laboratory Inc | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Suite 114, Saint Louis, MO 63125-3900 | 2013-12-13 |
| 1497185516 | Medcomp, LLC | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3900 | 2013-11-27 |
| 1972859171 | Ams Medical Laboratory | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Suite 205, Saint Louis, MO 63125-3900 | 2012-07-25 |
| 1619238235 | St. Anthony's Physician Organization | Family Medicine | 2900 Lemay Ferry Rd, Suite 104, Saint Louis, MO 63125-3900 | 2012-05-30 |
| 1316258601 | Paul David Hansen | Internal Medicine | 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3900 | 2010-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| 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 | 63125 |
Please comment or provide details below to improve the information on ST. LOUIS EYE CLINIC.
| 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.