Casey Michelle Peterson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2016029774 Issued in MO

Practice address

7840 Natural Bridge Blvd
1 University Blvd
Saint Louis, MO 63121-4617

Phone

(314) 516-5131

Fax

(314) 516-5507

NPI assigned

Aug 12, 2015

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Curators of the University of MissouriGroup PAC ID 6800704560, shared by 12 NPIs, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Curators of the University of Missouri

  dba Center for Eye Care

  • Optometrist
  • Saint Louis, MO
  • NPI 1679664718
  Medicare reassignment NPD
• Curators of the University of Missouri

  dba Center for Eye Care

  • Optometrist
  • Saint Louis, MO
  • NPI 1922190198
  Medicare reassignment NPD
• Curators of the University of Missouri

  dba Center for Eye Care

  • Optometrist
  • East St Louis, IL
  • NPI 1417049610
  Medicare reassignment NPD
• Curators of the University of Missouri

  dba Mizzou Pharmacy - Southwest Blvd

  • Community/Retail Pharmacy
  • Jefferson City, MO
  • NPI 1740083641
  NPD

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1033585161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "address_2": "PATIENT CARE CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214400",
            "telephone_number": "314-516-5131",
            "fax_number": "314-516-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 NATURAL BRIDGE BLVD",
            "address_2": "1 UNIVERSITY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214617",
            "telephone_number": "314-516-5131",
            "fax_number": "314-516-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 Lindell Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083204",
            "country_code": "US",
            "telephone_number": "314-516-5016",
            "fax_number": "314-535-4741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 JAMES R THOMPSON BLVD",
            "address_2": "BLDG D STE 2030",
            "address_purpose": "LOCATION",
            "city": "EAST ST LOUIS",
            "state": "IL",
            "postal_code": "622011129",
            "country_code": "US",
            "telephone_number": "618-274-0169",
            "fax_number": "618-274-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CASEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2016029774",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lee Petersmith, CRNA
• Alexandria Elizabeth Peterson, PA
• Andrew Michael Peterson, MD
• Annahita Peterson, MD, MSCI
• Brian G Peterson, MD
• Chelsea Marie Peterson, DPT
• Christine Marie Peterson, MD
• Christopher M Peterson, DPT
• Collin Peterson
• Crystal Peterson

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.

Verify at the official NPI Registry.