Organization Active NPI

Fox Eyecare Professionals, LLC

  • Optometrist
  • Maryland Heights, MO
National Provider Identifier
1053346536
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2006001515 Issued in MO
Legal business name
FOX EYECARE PROFESSIONALS, LLC
Practice address
2037 Dorsett Village Road
Maryland Heights, MO 63043-2058
Phone
(314) 838-3311
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Dr. Jamal James Fox, O.D.
Title
Optometrist
Phone
(314) 838-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2006001515 MO Primary

Addresses

Primary practice location

2037 Dorsett Village Road
Maryland Heights, MO 63043-2058

Mailing address

2037 Dorsett Village Road
Maryland Heights, MO 63043-2058
Phone (314) 838-3311

Other identifiers 1

IdentifierTypeStateIssuer
89093MPMedicaidNC

National Provider Directory

National Provider Directory

Locations

2037 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 205-9797

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1053346536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 DORSETT VILLAGE ROAD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432058",
            "telephone_number": "314-838-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 DORSETT VILLAGE ROAD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432058",
            "telephone_number": "314-838-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX EYECARE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "314-838-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006001515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093MP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.