Organization Active NPI

Doctors Eye Clinic, Inc

  • Ophthalmology Physician
  • St Louis, MO
National Provider Identifier
1043313588
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DOCTORS EYE CLINIC, INC
Practice address
12990 Manchester Rd
Suite 202
St Louis, MO 63131-1804
Phone
(314) 432-6137
Fax
(314) 432-1237
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Kirk Patrick Morey, MDNPI 1457306516
Title
President
Phone
(314) 432-6137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

12990 Manchester Rd
Suite 202
St Louis, MO 63131-1804

Mailing address

12990 Manchester Rd
Suite 202
St Louis, MO 63131-1804
Phone (314) 432-6137

Other names 1

  • Des Peres Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050111000678 MO Part B Supplier - Clinic/Group Practice 8921056482 Receives reassigned benefits from 5 practitioners
Practice locations: Saint Louis, MO; Arnold, MO
O20100930076685 MO DME Supplier - Physician - Ophthalmology 8921056482 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

12990 Manchester Rd
Ste 202
Saint Louis, MO 63131
Phone (314) 432-6137

2821 N Ballas Rd
Ste 240
Saint Louis, MO 63131
Phone (314) 432-6137

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1043313588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD",
            "address_2": "SUITE 202",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631311804",
            "telephone_number": "314-432-6137",
            "fax_number": "314-432-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD",
            "address_2": "SUITE 202",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631311804",
            "telephone_number": "314-432-6137",
            "fax_number": "314-432-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS EYE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "MOREY",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-432-6137",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Des Peres Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.