Emily M Brunson

Primary specialty

OcularistTaxonomy code 156FX1700X

Practice address

6005 Lafayette Dr
Weldon Spring, MO 63304-7890

Phone

(401) 584-3939

Fax

(216) 678-9186

NPI assigned

Mar 10, 2023

Last updated

Mar 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Frederick Customeyez in St. Louis

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1912603507
  NPD (past)
• Frederick Customeyez Prosthetics LLC

  • Ocularist
  • Saint Louis, MO
  • NPI 1841926599
  NPD (past)

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1063113728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 LAFAYETTE DR",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047890",
            "telephone_number": "401-584-3939",
            "fax_number": "216-678-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 LAFAYETTE DR",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047890",
            "telephone_number": "401-584-3939",
            "fax_number": "216-678-9186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297 S Silver Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637036309",
            "country_code": "US",
            "telephone_number": "401-584-3939",
            "fax_number": "216-678-9186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1834 Craig Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631464712",
            "country_code": "US",
            "telephone_number": "401-584-3939",
            "fax_number": "216-678-9186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 E Kingsley St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658047216",
            "country_code": "US",
            "telephone_number": "401-584-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1422 Euclid Ave Ste 802",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441152001",
            "country_code": "US",
            "telephone_number": "401-584-3939",
            "fax_number": "216-678-9186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "EMILY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika A. Berhorst, RDH
• Gerald R Bethel, MS
• Elizabeth Wellborn Bier, CCC-SLP
• Christa Victoria Blazevic, M.S.CCC,SLP
• Windy Ann Bragen, COTA/L
• Katherine Ann Brunson, MA, LPC
• Aaron Joseph Buban, DDS
• Stacie F Bunning, PSY.D.
• Janice Kay Burkemper
• Todd M Cadell, LCSW MSW

• Technician/Technologist in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Technician/Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.