O'DONNELL EYE INSTITUTE, INC. (NPI# 1932227485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932227485 |
| Entity Type | Organization |
| Organization Name | O'DONNELL EYE INSTITUTE, INC. |
| Practice Address |
1034 S Kirkwood Rd Kirkwood MO 63122-7200 |
| Practice Telephone | 3148214252 |
| Practice Fax Number | 3148214080 |
| Mailing Telephone | 3148214252 |
| Mailing Fax Number | 3148214080 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-09-17 |
| Authorized Official Name | DEBORAH L SWALLOW (PRESIDENT - CEO) |
| Authorized Official Telephone | 3148214252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | T03150 | MO | Eye and Vision Services Providers |
| N | 174400000X | Specialist | R9F62 | MO | Other Service Providers |
| N | 174400000X | Specialist | R9A10 | MO | Other Service Providers |
| Y | 174400000X | Specialist | 103873 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ANTHEM BCBS HEALTH PLAN | 10165C | 01 |
| MO | GROUP HEALTH PLAN | 34824 | 01 |
| MO | CMR GROUP HEALTH PLAN | 35724 | 01 |
| MO | 502893704 | 05 |
| Street Address |
1034 S KIRKWOOD RD |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821546474 | Ashley Noel Maben | Specialist | 236 Burts Rd, Kirkwood, NY 13795-1731 | 2016-09-12 |
| 1962877274 | Victoria M Rose | Specialist | 236 Burts Rd, Kirkwood, NY 13795-1731 | 2015-12-11 |
| 1578733374 | Healing Center of St Louis, LLC | Specialist | 1001 S Kirkwood Rd, Suite 160, Kirkwood, MO 63122-7254 | 2008-03-07 |
| 1861679532 | Elizabeth Carnevale Finch | Specialist | 236 Burts Rd, Kirkwood, NY 13795-1731 | 2008-01-24 |
| 1073799292 | Plastic Surgery Center of St Louis PC | Specialist | 1001 S Kirkwood Rd, Ste 160, Kirkwood, MO 63122-7254 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497381990 | Styles 40 Salon | Specialist | 4550 Gravois Ave, Saint Louis, MO 63116-2426 | 2020-03-16 |
| 1013560721 | Against The Grainz | Specialist | 8523 Drury Ln, Saint Louis, MO 63147-1313 | 2019-07-22 |
| 1487211033 | Kia Lanay Lewis | Specialist | 9700 Portage Dr, Saint Louis, MO 63136-5312 | 2019-05-20 |
| 1659935815 | Nicole Pittman | Specialist | 3004 Chance Dr, Florissant, MO 63031-1436 | 2019-04-23 |
| 1376011007 | Lashonda S Wash | Specialist | 222 Bruce Ave, Saint Louis, MO 63135-2704 | 2018-11-12 |
| 1326516048 | Showna Walker | Specialist | 2242 Berwyn Dr, Saint Louis, MO 63136-5415 | 2018-11-12 |
| 1306326061 | Sleek Barber & Beauty Salon | Specialist | 13220 New Halls Ferry Rd, Florissant, MO 63033-3231 | 2018-08-21 |
| 1760973697 | Angela Haas | Specialist | 1361 Childress Ave, Saint Louis, MO 63139-3451 | 2018-05-26 |
| 1164913497 | Gina Marie Savage | Specialist | 2400 Troost Ave Ste 3400, Kansas City, MO 64108-2666 | 2018-05-22 |
| 1962907782 | Kelsey Conley | Specialist | 2839 Howard St, Saint Louis, MO 63106-2027 | 2018-03-25 |
| Find all providers with the same taxonomy | ||||
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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.