St Charles Eye Center Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ST CHARLES EYE CENTER INC

Practice address

1005 Fairgrounds Rd
Saint Charles, MO 63301-2338

Phone

(636) 724-7116

Fax

(636) 916-4627

NPI assigned

Aug 18, 2006

Last updated

Sep 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann C Knichel

Title

Office Manager

Phone

(636) 724-7116

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/ae718b75-7880-43e4-bded-99af66193990/

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph A Clever, M.D.

  • Ophthalmology Physician
  • Saint Charles, MO
  • NPI 1245438886
  Medicare reassignment
• Eugene J McCabe, M.D.

  • Ophthalmology Physician
  • Saint Charles, MO
  • NPI 1689677106
  Medicare reassignment

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1063526804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 FAIRGROUNDS RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012338",
            "telephone_number": "636-724-7116",
            "fax_number": "636-916-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 FAIRGROUNDS RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012338",
            "telephone_number": "636-724-7116",
            "fax_number": "636-916-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "KNICHEL",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-724-7116"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "108432",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "3841",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SSM St. Joseph Health Center (The Imaging Center at St. Joseph Medical Park)
• SSM St. Joseph Surgery Center, LLC (The Surgery Center at St. Joseph Medical Park)
• Ssmdepaul Medical Group
• Scott C St Amour, M.D.
• St Charles Emergency Group LLC
• St Charles Foot Care Center, Terry L. Gamache, DPM, PC
• St Charles Health Care LLC (Frontier Health & Rehabilitation)
• St Charles Lactation Care & Support LLC
• St Charles Opco LLC (Windsor Estates of St. Charles)
• St Charles Optical Company

• Ophthalmology Physician in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.