Individual provider Active NPI

Rachel Elaine Merriman, O.D.

  • Optometrist
  • Troy, MO
National Provider Identifier
1043418437
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2007018531 Issued in MO
Practice address
84 Professional Pkwy
Troy, MO 63379-2822
Phone
(636) 528-6104
NPI assigned
Jul 6, 2007
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2007018531 MO Primary

Addresses

Primary practice location

84 Professional Pkwy
Troy, MO 63379-2822

Mailing address

84 Professional Pkwy
Troy, MO 63379-2822
Phone (636) 528-2020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000364 MO Practitioner - Optometry 2466548375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2007
Medicare assignment
May accept Medicare assignment
Group practices
McCullough Optometry Associates PCGroup PAC ID 6709868664, 3 clinicians

Practice addresses (Care Compare)

2035 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone (636) 946-1176

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Eye Care Specialists, LLC CurrentSince Feb 16, 2013 Accepting new patients
Denise M. Harvey Dba Advanced Eyecare Optometrist PastSince Nov 24, 2024 Accepting new patients
Ophthalmology Consultants, LLC PastSince Aug 1, 2008 Accepting new patients

Locations

675 Old Ballas Rd
Ste 220
Saint Louis, MO 63141
Phone (314) 997-3937

Organizations & group practices 4

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1043418437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PROFESSIONAL PKWY",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792822",
            "telephone_number": "636-528-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PROFESSIONAL PKWY",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792822",
            "telephone_number": "636-528-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "RACHEL",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2007018531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

Verify at the official NPI Registry.