Aaron Michael Brewer, O.D.
Individual provider Active NPI Optometrist · Creve Coeur, MO
NPI 1033306709 · NPPES record last updated Nov 18, 2014
Key facts
- NPI
- 1033306709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2007020850 (MO)
- Practice address
- 11433 Olive Blvd
Creve Coeur, MO 63141-7108 - Phone
- (314) 432-1134
- Fax
- (314) 432-1135
- NPI assigned
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clarkson Optometry Inc
Practice addresses (Care Compare)
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100623000465 | MO | Practitioner - Optometry | 3870680119 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007020850 | MO | MD | Optometrist |
| 2514 | OK | MD | Speech-Language Pathologist |
Practice roles (6 of 7)
| 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 |
| Cherokee Nation | Past | Accepting new patients | |
| Northeastern State University College of Optometry | Optometrist | Past |
Accepting new patients |
| Cherokee Nation | Past |
Accepting new patients |
Locations
330 W Osage St
Pacific, MO 63069
Phone (636) 271-4500
3122 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 450-7313
11433 Olive Blvd
Saint Louis, MO 63141
Phone (314) 432-1134
8658 Big Bend Blvd
Webster Groves, MO 63119
Phone (314) 962-3830
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2007020850 | MO | Yes |
Addresses
Primary practice location
11433 Olive Blvd
Creve Coeur, MO 63141-7108
Mailing address
40 E North St
Eureka, MO 63025-1205
Phone (636) 200-4393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033306709 | Medicaid | MO |
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.