EYECARE MANAGEMENT LLC (NPI# 1699806919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699806919 |
| Entity Type | Organization |
| Organization Name | EYECARE MANAGEMENT LLC |
| Other Organization Name | QUANTUM VISION CENTER |
| Practice Address |
12818 Tesson Ferry Rd Suite 201 Saint Louis MO 63128-2945 |
| Mailing Address |
111 W Lincoln St Belleville IL 62220-2019 |
| Practice Telephone | 3148434044 |
| Practice Fax Number | 3148432941 |
| Mailing Telephone | 6182771130 |
| Mailing Fax Number | 6189378403 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-05-21 |
| Authorized Official Name | SANDRA L CUMMINS (BILLING DEPARTMENT MGR) |
| Authorized Official Telephone | 6182771130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 202559308 | 05 | |
| MO | 317834034 | 05 |
| Other Name | Type Code |
|---|---|
| Quantum Vision Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700938578 | Eyecare Management LLC | Durable Medical Equipment & Medical Supplies | 12 Professional Park Dr, Maryville, IL 62062-5672 | 2007-01-18 |
| Street Address |
12818 TESSON FERRY RD SUITE 201 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002344 | Loren Clayton Schrenk | Ophthalmology | 12818 Tesson Ferry Rd, Ste 201, Saint Louis, MO 63128-2945 | 2005-06-13 |
| 1700208782 | Elizabeth Dunn Babcock | Dietitian, Registered | 12818 Tesson Ferry Rd, Suite 104, Saint Louis, MO 63128-2945 | 2014-01-10 |
| 1962751750 | Christopher T James | Hearing Instrument Specialist | 12818 Tesson Ferry Rd, Ste 205, Saint Louis, MO 63128-2945 | 2012-09-07 |
| 1053647008 | South County Dental Imaging Center | Clinic/Center | 12818 Tesson Ferry Rd, Suite 204, Saint Louis, MO 63128-2945 | 2009-10-27 |
| 1629205539 | The Center for Health & Wellness, LLC | Specialist | 12818 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-2945 | 2009-06-18 |
| 1336301142 | The Center for Health and Wellness | Psychiatry & Neurology | 12818 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-2945 | 2008-07-02 |
| 1063636934 | Mark Andrew Mcclure | Dentist | 12818 Tesson Ferry Rd, Suite 202, Saint Louis, MO 63128-2945 | 2007-04-12 |
| 1093846347 | Eye Consultants of Il Ltd | Ophthalmology | 12818 Tesson Ferry Rd, Suite 201, Saint Louis, MO 63128-2945 | 2007-03-08 |
| 1417917881 | Daniel J. Mueth | Dentist | 12818 Tesson Ferry Rd, Suite 102, Saint Louis, MO 63128-2945 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| 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 |
|---|---|---|---|---|
| 1194379115 | Zhenzhen Gao | Optometrist | 4531 Mcpherson Ave Apt 203, Saint Louis, MO 63108-1959 | 2019-07-29 |
| 1114579554 | Naba Razi Khan | Optometrist | 9924 Kennerly Rd, Saint Louis, MO 63128-2704 | 2019-07-16 |
| 1164083143 | Sara Taylor | Optometrist | 522 N New Ballas Rd Ste 113, Saint Louis, MO 63141-6820 | 2019-06-21 |
| 1891358115 | Essential Eyecare, LLC | Optometrist | 7256 Pershing Ave Unit B, Saint Louis, MO 63130-4248 | 2019-04-22 |
| 1720517386 | Morgan Rebecca Poore | Optometrist | 555 N New Ballas Rd Ste 310, Saint Louis, MO 63141-6896 | 2017-06-07 |
| 1699157735 | Katherine Gettinger | Optometrist | 28 Maryland Plz, Saint Louis, MO 63108-1526 | 2015-06-25 |
| 1083096523 | Courtney Anne Stehlin | Optometrist | 122 S County Center Way, Saint Louis, MO 63129-1092 | 2015-06-21 |
| 1861836777 | Clarkson Optometry Inc | Optometrist | 3192 S Grand Blvd, Saint Louis, MO 63118-1025 | 2013-04-22 |
| 1790026540 | Clarkson Optometry Inc | Optometrist | 5632 Telegraph Rd # A, Saint Louis, MO 63129-4243 | 2013-03-04 |
| 1538423769 | Mark Alan Wilkins | Optometrist | 5632 Telegraph Rd, Suite A, Saint Louis, MO 63129-4243 | 2012-07-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.