Jacqueline G Ladd, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2013020891 Issued in MO

Practice address

302 E Pitman St
O Fallon, MO 63366-2623

Phone

(636) 272-1444

NPI assigned

Jun 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iverson-Tomasino Eyecare IncGroup PAC ID 0446327639, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Iverson-Tomasino Eyecare Inc

  • Optometrist
  • O'Fallon, MO
  • NPI 1548386758
  Medicare reassignment Care Compare group NPD
• Ophthalmology Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1659799575
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1053751537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E PITMAN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662623",
            "telephone_number": "636-272-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E PITMAN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662623",
            "telephone_number": "636-272-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "JACQUELINE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2013020891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Kuhlmann
• Jyoti G Kulkarni, MD
• Hattie Jane Kurk
• L & P Corp (WHARF Health Mart PHARMACY)
• L & P Corp.
• Ladybug Healthcare DTL, LLC
• Lake St. Louis Chiropractic
• Lakeside Counseling Services
• Lakeview Dental LLC
• Lakeview Medical Group Inc

• Optometrist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.