Active NPI
Christopher Eisenbeis, OD
- Optometrist
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2024035315
- Practice address
- 851 E 5TH St Ste 112
Washington, MO 63090-3128 - Phone
- (636) 239-8345
- NPI assigned
- Dec 11, 2023
- Last updated
- Sep 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2972 | MD | |
| Optometrist | 152W00000X | 2024035315 | MO | Primary |
Addresses
Primary practice location
851 E 5TH St Ste 112
Washington, MO 63090-3128
Mailing address
9241 Tea Rose LN
Saint Louis, MO 63126-2509
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 S New Ballas Rd
Suite 5006B
Saint Louis, MO 63141-8270
Phone (314) 251-5300
851 E 5TH St
Washington, MO 63090-3135
Phone (636) 239-8345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2972 | MD | MD | Optometrist |
| 2024035315 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Ophthalmology LLC | Current | Accepting new patients | |
| Mercy Health Services, LLC | Optometrist | Current | Accepting new patients |
| Mercy Health Services, LLC | Optometrist | Current | Accepting new patients |
| Mercy Health Services, LLC | Optometrist | Current | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 140A
Saint Louis, MO 63141
Phone (314) 251-5300
621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300
851 E 5th St
Ste 112
Washington, MO 63090
Phone (636) 239-8345
901 Patients First Dr
Ste 2600
Washington, MO 63090
Phone (636) 231-3651
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.
-
- Ophthalmology Physician
- Washington, MO
- NPI 1003179656
-
dba Mercy Eye Care
- Eyewear Supplier
- Saint Louis, MO
- NPI 1730224478
Optometrist
-
dba Mercy Eye Care
- Eyewear Supplier
- Washington, MO
- NPI 1164567897
Optometrist
-
dba Mercy Eye Care
- Eyewear Supplier
- Saint Louis, MO
- NPI 1992881973
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1063289916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9241 TEA ROSE LN",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631262509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 E 5TH ST STE 112",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903128",
"telephone_number": "636-239-8345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBEIS",
"first_name": "CHRISTOPHER",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-11",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2972",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2024035315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.