Organization Active NPI

Doell, Davidson & Associates

Doing business as Center for Vision & Learning

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1114066776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOELL, DAVIDSON & ASSOCIATES
Doing business as
Center for Vision & Learning
Practice address
12401 Olive Blvd
Suite 206
Saint Louis, MO 63141-5448
Phone
(314) 628-9100
Fax
(314) 628-9191
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Emily A Marlett
Title
Office Manager
Phone
(314) 628-9100

Specialties & licenses 1

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

Addresses

Primary practice location

12401 Olive Blvd
Suite 206
Saint Louis, MO 63141-5448

Mailing address

12401 Olive Blvd
Suite 206
Saint Louis, MO 63141-5448
Phone (314) 628-9100

Other names 1

  • Center for Vision & Learning Doing business as

National Provider Directory

National Provider Directory

Locations

3940 Lindell Blvd
#1
Saint Louis, MO 63108

7954 Big Bend Blvd
Webster Grvs, MO 63119
Phone (314) 962-7580

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114066776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 OLIVE BLVD",
            "address_2": "SUITE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415448",
            "telephone_number": "314-628-9100",
            "fax_number": "314-628-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 OLIVE BLVD",
            "address_2": "SUITE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415448",
            "telephone_number": "314-628-9100",
            "fax_number": "314-628-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOELL, DAVIDSON & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARLETT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-628-9100"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Vision & Learning",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.