Active NPI
Michael Rohde, O.D.
- Optometrist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02739
- Practice address
- 2572 Lemay Ferry Rd
Saint Louis, MO 63125-3131 - Phone
- (314) 892-3321
- Fax
- (314) 845-9603
- NPI assigned
- Jun 23, 2005
- 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 | T02739 | MO | Primary |
Addresses
Primary practice location
2572 Lemay Ferry Rd
Saint Louis, MO 63125-3131
Mailing address
40 E North St
Eureka, MO 63025-1205
Phone (636) 200-4393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410040187 | Other | MO | RAILROAD MEDICARE |
| 312613516 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2572 Lemay Ferry Rd
Saint Louis, MO 63125-3131
Phone (314) 892-3321
3122 S Grand Blvd
The Spec Shoppe
St Louis, MO 63118-1012
Phone (314) 450-7313
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T02739 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Inc | Optometrist | Current | Accepting new patients |
| Clarkson Optometry, Inc | Optometrist | Current | Accepting new patients |
| Clarkson Eyecare | Optometrist | Past | Accepting new patients |
Locations
3936 Vogel Rd
Arnold, MO 63010
Phone (636) 262-4982
330 W Osage St
Pacific, MO 63069
Phone (636) 271-4500
11433 Olive Blvd
Saint Louis, MO 63141
Phone (314) 432-1134
2572 Lemay Ferry Rd
Saint Louis, MO 63125
Phone (314) 892-3321
730 S Kirkwood Rd
Saint Louis, MO 63122
Phone (314) 569-2020
4305 Butler Hill Rd
Saint Louis, MO 63128
Phone (314) 487-4744
3122 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 450-7313
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Interoperability endpoints
- michaelrohde@direct.eyecare-partners.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Ellisville, MO
- NPI 1497155345
-
- Optometrist
- Elk River, MN
- NPI 1952992976
-
- Optometrist
- Eureka, MO
- NPI 1205817731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1023014024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 E NORTH ST",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251205",
"telephone_number": "636-200-4393",
"fax_number": "636-938-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2572 LEMAY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631253131",
"telephone_number": "314-892-3321",
"fax_number": "314-845-9603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHDE",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410040187",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312613516",
"state": "MO"
}
],
"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 19, 2011; 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.
- 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.