INNOVATIVE EYE CARE SPECIALISTS, LLC (NPI# 1821597592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821597592 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE EYE CARE SPECIALISTS, LLC |
| Other Organization Name | JERDE EYE SPECIALISTS |
| Practice Address |
10275 Watson Rd Saint Louis MO 63127 |
| Mailing Address |
10275 Watson Rd Saint Louis MO 63127-1103 |
| Practice Telephone | 8165173599 |
| Mailing Telephone | 3149629334 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | ERIC JERDE (OWNER) |
| Authorized Official Telephone | 3149629334 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2012018551 | MO | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Jerde Eye Specialists | Doing Business As Name - Organization |
| Street Address |
10275 WATSON RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396886453 | Mark Caldarola | Optometrist | 10275 Watson Rd, Saint Louis, MO 63127-1103 | 2007-02-10 |
| 1548654981 | American Eyewear Center LLC | Eyewear Supplier (Equipment, not the service) | 10275 Watson Rd, Saint Louis, MO 63127-1103 | 2015-03-24 |
| 1609121839 | Eric Jerde | Optometrist | 10275 Watson Rd, Saint Louis, MO 63127 | 2012-07-13 |
| 1396886354 | Titia Mulder | Optometrist | 10275 Watson Rd, Saint Louis, MO 63127-1103 | 2007-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1811382179 | Robert Paul Hintze | Dentist | 3555 Sunset Office Dr Ste 210, Saint Louis, MO 63127 | 2015-04-03 |
| 1639560782 | Bwell Pharmacy LLC | Pharmacy | 12128 Gravois Road, St.louis, MO 63127 | 2015-02-11 |
| 1043612773 | Braham Dev Dewan | Internal Medicine | 9917 Grandview Forest Court, Saint Louis, MO 63127 | 2014-09-25 |
| 1639518673 | Jonathan Yoon | Otolaryngology | 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 | 2013-06-24 |
| 1639515315 | Kathleen Mary Lowe | Internal Medicine | 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 | 2013-05-21 |
| 1366782088 | Sunset Hills Family Chiropractic LLC | Clinic/Center | 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 | 2013-02-15 |
| 1063743300 | John Ralph Firth | Dentist | 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 | 2010-01-27 |
| 1174762850 | Antonio I Longrais | Dentist | 4600 S. Lindbeigh 63127, St. Louis, MO 63127 | 2009-02-19 |
| 1447439716 | George D Bankhead Dds Ms PC | Dentist | 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 | 2007-11-02 |
| Find all providers in zip 63127 | ||||
| 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 | 63127 |
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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.