Organization Active NPI

Progress Eyecare LLC

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1073090635
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PROGRESS EYECARE LLC
Practice address
8011 Clayton Rd Ste 209
Saint Louis, MO 63117-1156
Phone
(314) 802-6088
Fax
(314) 433-5024
NPI assigned
Jul 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Mr. Yates H Sanders
Title
Practice Manager
Phone
(314) 802-6088

Specialties & licenses 1

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

Addresses

Primary practice location

8011 Clayton Rd Ste 209
Saint Louis, MO 63117-1156

Mailing address

8011 Clayton Rd Ste 209
Saint Louis, MO 63117-1156
Phone (314) 802-6088

National Provider Directory

National Provider Directory

Locations

7750 Maryland Ave
Unit 16170
Saint Louis, MO 63105

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1073090635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 CLAYTON RD STE 209",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171156",
            "telephone_number": "314-802-6088",
            "fax_number": "314-433-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 CLAYTON RD STE 209",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171156",
            "telephone_number": "314-802-6088",
            "fax_number": "314-433-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "YATES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "314-802-6088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.