NPIMap

Organization Active NPI

Eyes on Ste Genevieve LLC

  • Optometrist
  • Ste Genevieve, MO
National Provider Identifier
1083288963
Registry record updated May 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYES ON STE GENEVIEVE LLC
Practice address
466 Market St
Ste Genevieve, MO 63670-1520
Phone
(573) 883-2774
NPI assigned
May 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2021

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

Authorized official

Name
Dr. Deanne Wolk, ODNPI 1922236678
Title
Optometrist
Phone
(314) 803-8951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

466 Market St
Ste Genevieve, MO 63670-1520

Mailing address

1227 Paulanna Estates Dr
Festus, MO 63028-4087
Phone (314) 803-8951

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621123200000",
    "number": "1083288963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 PAULANNA ESTATES DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284087",
            "telephone_number": "314-803-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 MARKET ST",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701520",
            "telephone_number": "573-883-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON STE GENEVIEVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-16",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "314-803-8951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ste Genevieve, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; 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.