Individual provider Active NPI

Sonia Salas, O.D.

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1114254281
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2012025596 Issued in MO
Practice address
401 N Euclid Ave
Saint Louis, MO 63108-1601
Phone
(314) 367-1848
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13885 CA
Optometrist 152W00000X 2012025596 MO Primary

Addresses

Primary practice location

401 N Euclid Ave
Saint Louis, MO 63108-1601

Mailing address

PO Box 207158
Dallas, TX 75320-7158
Phone (636) 200-4393

Other practice location 1

169 Carondelet Plz
Saint Louis, MO 63105-3429
Phone (314) 367-1848

Other practice location 2

3940 Lindell Blvd
Saint Louis, MO 63108-3204
Phone (314) 516-5016

Other practice location 3

7840 Natural Bridge
Patient Care Center
St. Louis, MO 63121
Phone (314) 516-5131

Other practice location 4

8562 - 66 Eager Rd.
Brentwood, MO 63144
Phone (314) 785-7272

Other practice location 5

11941 Manchester Rd
Des Peres, MO 63131-4502
Phone (314) 884-2380

Other practice location 6

917 Olive St
Saint Louis, MO 63101-1418
Phone (314) 621-5303

Other practice location 7

8821 LaDue Rd
Saint Louis, MO 63124-2045
Phone (314) 450-7305

Other practice location 8

3533 Dunn Rd
Florissant, MO 63033-6783
Phone (314) 838-2100

Other practice location 9

230 N Lindbergh Blvd
Florissant, MO 63031-5904
Phone (314) 921-9377

Other practice location 10

730 S Kirkwood Rd
Kirkwood, MO 63122-5929
Phone (314) 821-2626

Other practice location 11

7335 Manchester Rd
Maplewood, MO 63143-3107
Phone (314) 645-1575

Other practice location 12

9082 Overland Plz
Overland, MO 63114-6122
Phone (314) 227-1132

Other practice location 13

7 N Euclid Ave
Saint Louis, MO 63108-1445
Phone (314) 884-2382

Other identifiers 2

IdentifierTypeStateIssuer
1114254281MedicaidMO
12057226OtherMOCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121001000169 MO Practitioner - Optometry 1254475171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry IncGroup PAC ID 0840411799, 82 clinicians

Practice addresses (Care Compare)

12861 Dorsett Rd
Maryland Heights, MO 63043-2100
Phone (314) 786-3800

3122 S Grand Blvd
The Spec Shoppe
St Louis, MO 63118-1012
Phone (314) 450-7313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13885CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Affinia Healthcare Current Accepting new patients
Curators of the University of Missouri Optometrist CurrentSince Aug 1, 2012 Accepting new patients
West End Eyes Optometrist Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Clarkson Eyecare Optometrist Past Accepting new patients
Black Optical LLC PastSince Dec 5, 2021 Accepting new patients

Locations

1 University Blvd
#153
Saint Louis, MO 63121
Phone (314) 516-5131

3940 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 516-5016

1 University Blvd
Saint Louis, MO 63121
Phone (314) 516-5131

7840 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 382-6400

1717 Biddle St
Saint Louis, MO 63106
Phone (314) 814-8515

1 University Blvd
#115
Saint Louis, MO 63121

Interoperability endpoints

  • Direct secure messaging: soniasalas@direct.eyecare-partners.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1114254281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207158",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207158",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081601",
            "telephone_number": "314-367-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Carondelet Plz",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631053429",
            "country_code": "US",
            "telephone_number": "314-367-1848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3940 Lindell Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083204",
            "country_code": "US",
            "telephone_number": "314-516-5016",
            "fax_number": "314-535-4741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7840 NATURAL BRIDGE",
            "address_2": "PATIENT CARE CENTER",
            "address_purpose": "LOCATION",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63121",
            "country_code": "US",
            "telephone_number": "314-516-5131",
            "fax_number": "314-516-5507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8562 - 66 Eager Rd.",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "MO",
            "postal_code": "63144",
            "country_code": "US",
            "telephone_number": "314-785-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11941 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Des Peres",
            "state": "MO",
            "postal_code": "631314502",
            "country_code": "US",
            "telephone_number": "314-884-2380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 Olive St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631011418",
            "country_code": "US",
            "telephone_number": "314-621-5303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8821 LaDue Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631242045",
            "country_code": "US",
            "telephone_number": "314-450-7305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3533 Dunn Rd",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630336783",
            "country_code": "US",
            "telephone_number": "314-838-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 N Lindbergh Blvd",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630315904",
            "country_code": "US",
            "telephone_number": "314-921-9377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 S Kirkwood Rd",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631225929",
            "country_code": "US",
            "telephone_number": "314-821-2626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7335 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MO",
            "postal_code": "631433107",
            "country_code": "US",
            "telephone_number": "314-645-1575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9082 Overland Plz",
            "address_purpose": "LOCATION",
            "city": "Overland",
            "state": "MO",
            "postal_code": "631146122",
            "country_code": "US",
            "telephone_number": "314-227-1132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 N Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631081445",
            "country_code": "US",
            "telephone_number": "314-884-2382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAS",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13885",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012025596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114254281",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12057226",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.