Organization Active NPI

Absolute Vision LLC

  • Optometrist
  • Webster Groves, MO
National Provider Identifier
1104232073
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ABSOLUTE VISION LLC
Practice address
220 W Lockwood Ave
Suite 220C
Webster Groves, MO 63119-2353
Phone
(314) 748-5262
Fax
(314) 942-3081
NPI assigned
Jul 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Dr. John McDougall, O.D.
Title
Optometrist
Phone
(217) 222-8800

Specialties & licenses 1

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

Addresses

Primary practice location

220 W Lockwood Ave
Suite 220C
Webster Groves, MO 63119-2353

Mailing address

220 W Lockwood Ave
Suite 220C
Webster Groves, MO 63119-2353
Phone (314) 748-5262

National Provider Directory

National Provider Directory

Locations

2638 Solution Ctr
Chicago, IL 60677

220 W Lockwood Ave
Ste 220C
Webster Groves, MO 63119
Phone (314) 748-5262

220 W Lockwood Ave
Webster Grvs, MO 63119
Phone (314) 913-4103

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": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1104232073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W LOCKWOOD AVE",
            "address_2": "SUITE 220C",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192353",
            "telephone_number": "314-748-5262",
            "fax_number": "314-942-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W LOCKWOOD AVE",
            "address_2": "SUITE 220C",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192353",
            "telephone_number": "314-748-5262",
            "fax_number": "314-942-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "MCDOUGALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "217-222-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Groves, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.