Alexander R Bottini (NPI# 1033505086, PAC ID# 9436442449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1033505086 |
| PAC ID by PECOS | 9436442449 |
| Professional Enrollment ID | I20190813003104 |
| Full Name | Alexander R Bottini |
| Organization Legal Name | RETINA CONSULTANTS LTD |
| Address |
17 The Boulevard Richmond Heights MO 63117-1118 |
| Phone Number | 3143671181 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9537259957 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5 Country Club Executive Park, Glen Carbon, IL 62034-1702 | 8008880011 | RETINA CONSULTANTS LTD |
| 1009 42nd St, Suite 3, Mt Vernon, IL 62864-6218 | 3143671181 | RETINA CONSULTANTS LTD |
| 17 The Boulevard, Richmond Heights, MO 63117-1118 | 3143671181 | RETINA CONSULTANTS LTD |
| 12106 Tesson Ferry Rd, Saint Louis, MO 63128-1729 | 3143671181 | RETINA CONSULTANTS LTD |
| Organization Legal Name | RETINA CONSULTANTS LTD |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barton Lynn Blackorby | Ophthalmology | Retina Consultants Ltd | 5 Country Club Executive Park, Glen Carbon, IL 62034-1702 |
| Richard J Rothman | Ophthalmology | Retina Consultants Ltd | 1009 42nd St, Suite 3, Mt Vernon, IL 62864-6218 |
| Bradley T Smith | Ophthalmology | Retina Consultants Ltd | 226 S Woods Mill Rd, Suite 50w, Chesterfield, MO 63017-3664 |
| Daniel Paul Joseph | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Waseem Husain Ansari | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Kevin Jay Blinder | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Sabin Dang | Ophthalmology | Retina Consultants Ltd | 226 S Woods Mill Rd, Suite 50w, Chesterfield, MO 63017-3664 |
| Gautam Vangipuram | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Mark G Grand | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Alia Khan Durrani | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Street Address |
17 THE BOULEVARD |
| City | RICHMOND HEIGHTS |
| State | MO |
| Zip | 63117-1118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Paul Joseph | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Waseem Husain Ansari | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Kevin Jay Blinder | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Gautam Vangipuram | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Mark G Grand | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Alia Khan Durrani | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Gaurav Shah | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia V Cooper | Clinical Psychologist | Ssm Select Rehab St Louis LLC | 12380 Depaul Dr, Saint Louis, MO 63117 |
| Melanie J Kramer | Nurse Practitioner | Brentwood Painstop LLC | 8225 Clayton Rd, Clayton, MO 63117-1107 |
| Roland S Van Nest | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Barbara Yusen | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Elena M Rodriguez | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Bryan M Rasch | Chiropractic | Brentwood Painstop LLC | 8225 Clayton Rd, Clayton, MO 63117-1107 |
| Sarah E Beerntsen | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Shannon Niere | Optometry | Antoine Eye Care, LLC | 2493 Saint Louis Galleria, Saint Louis, MO 63117-1113 |
| Michael Antoine | Optometry | Antoine Eye Care, LLC | 2493 Saint Louis Galleria, Saint Louis, MO 63117-1113 |
| Janae U Kadlec | Optometry | Eye Care Associates of St Louis LLC | 15 The Boulevard Saint Louis, Richmond Heights, MO 63117-1118 |
| Find all physicians in zip 63117 | |||
| City | RICHMOND HEIGHTS |
| Zip Code | 63117 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | RICHMOND HEIGHTS + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.