ROBERT JOSEPH GRUCHALA (NPI# 1710161716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710161716 |
Entity Type | Individual |
Full Name | ROBERT JOSEPH GRUCHALA |
Credential | FNAO |
Practice Address |
6200 Chippewa Saint Louis MO 63109-2238 |
Mailing Address |
6200 Chippewa St Saint Louis MO 63109-2115 |
Practice Telephone | 3143526100 |
Practice Fax Number | 3147523404 |
Mailing Telephone | 3143526100 |
Mailing Fax Number | 3147523404 |
Enumeration Date | 2007-12-27 |
Last Update Date | 2008-09-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
11078022 | MO | Eye and Vision Services Providers |
Street Address |
6200 CHIPPEWA |
City | SAINT LOUIS |
State | MO |
Zip Code | 63109-2238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
Find all providers in zip 63109 |
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 |
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 |
1396927166 | Charles T Staton Sr. | Technician/Technologist | 1408 N Kingshighway Blvd, Saint Louis, MO 63113-1400 | 2007-12-03 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63109 |
Please comment or provide details below to improve the information on ROBERT JOSEPH GRUCHALA.
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.