Active NPI
Douglas J McGuire, OD
- Optometrist
- Saint Louis, MO
National Provider Identifier
1013998707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T-03075
- Practice address
- 5496 Baumgartner Rd
S.105
Saint Louis, MO 63129-2834 - Phone
- (314) 487-2600
- Fax
- (314) 487-7135
- NPI assigned
- Nov 9, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T-03075 | MO | Primary |
Addresses
Primary practice location
5496 Baumgartner Rd
S.105
Saint Louis, MO 63129-2834
Mailing address
5496 Baumgartner Rd
S.105
Saint Louis, MO 63129-2834
Phone (314) 487-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-03075 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desoto Vision Care LLC | Optometrist | Current | Accepting new patients |
| Prange Riley Optometrists, P.C. | Optometrist | Past | Accepting new patients |
Locations
126 S Main St
De Soto, MO 63020
Phone (636) 586-5406
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013998707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5496 BAUMGARTNER RD",
"address_2": "S.105",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631292834",
"telephone_number": "314-487-2600",
"fax_number": "314-487-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5496 BAUMGARTNER RD",
"address_2": "S.105",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631292834",
"telephone_number": "314-487-2600",
"fax_number": "314-487-7135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "DOUGLAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T-03075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.