Ophthalmology Consultants, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R1E17 Issued in MO

Legal business name

OPHTHALMOLOGY CONSULTANTS, LLC

Practice address

12990 Manchester Rd
Suite 200
Saint Louis, MO 63131-1860

Phone

(314) 966-5000

Fax

(314) 909-6666

NPI assigned

Jan 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Pravoot Gira

Title

Cmo

Phone

(314) 909-0633

Specialties & licenses 1

Addresses

Other names 1

• Ophthalmology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ophthalmology Consultants, LLC

  • Ophthalmology Physician
  • Des Peres, MO
  • NPI 1508899543

  O20040505001055

  Same enrollment
• Ophthalmology Consultants, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1780865220

  O20040505001055

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ophthalmology Consultants LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Ophthalmology Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1114217536
  NPD tax ID
• Ophthalmology Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Charles, MO
  • NPI 1205425329
  NPD tax ID
• Ophthalmology Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Des Peres, MO
  • NPI 1407147622
  NPD tax ID
• Ophthalmology Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1659799575
  NPD tax ID
• Ophthalmology Consultants, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1780865220
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Clarkson Optometry Inc

  • Optometrist
  • Saint Louis, MO
  • NPI 1790026540

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Ross Fedyk, M.D.

  • Ophthalmology Physician
  • Town & Country, MO
  • NPI 1356544209

  Ophthalmology

  NPD (past)
• Judith Lynn Miles, O.D.

  • Optometrist
  • Kirkwood, MO
  • NPI 1588662746
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1003960980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311860",
            "telephone_number": "314-966-5000",
            "fax_number": "314-909-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311860",
            "telephone_number": "314-966-5000",
            "fax_number": "314-909-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PRAVOOT",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "314-909-0633"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R1E17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ophthalmology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ophthalmology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Open Imaging Partners
• Open MRI of Missouri, L.L.C.
• Open Options, Inc
• Open Table Nutrition LLC
• Open Wings in Home Care, LLC
• Ophthalmology Consultants, LLC
• Ophthalmology Consultants, LLC
• Ophthalmology Consultants, LLC.
• Ophthalmology West, Inc.
• Peter John Oppelt, MD

• All providers in Saint Louis, MO
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.