Individual provider Active NPI

Alexandra Schuette Homann, O.D.

  • Optometrist
  • Florissant, MO
National Provider Identifier
1114351921
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2016005437 Issued in MO
Practice address
230 N Lindbergh Blvd
Florissant, MO 63031-5904
Phone
(314) 921-9377
Fax
(314) 921-9377
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002827 PA
Optometrist 152W00000X OFC61 FL
Optometrist 152W00000X 2016005437 MO Primary

Addresses

Primary practice location

230 N Lindbergh Blvd
Florissant, MO 63031-5904

Mailing address

3200 S University Dr
Terry Building 1402
Davie, FL 33328-2018
Phone (954) 262-1402

Other practice location 1

10101 Gravois Rd
Affton, MO 63123-4025
Phone (314) 282-9050

Other practice location 2

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

Other practice location 3

12681 Dorsett Rd
Maryland Heights, MO 63043-2100
Phone (314) 786-3800

Other practice location 4

6415 Chippewa St
Saint Louis, MO 63109-2104
Phone (314) 457-1880

Other practice location 5

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

Other practice location 6

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

Other practice location 7

3122 S Grand Blvd
Saint Louis, MO 63118-1012
Phone (314) 450-7313

Other practice location 8

933 Highway K
O Fallon, MO 63366-2910
Phone (636) 379-4288

Other practice location 9

3200 S University Dr
Terry Building 1402
Davie, FL 33328-2018
Phone (954) 262-1402

Other names 1

  • Alexandra Schuette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OFC61FLMDOptometrist
2016005437MOMDOptometrist
OEG002827PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Illinois PC Optometrist Past Accepting new patients
Clarkson Eyecare Optometrist Past Accepting new patients

Interoperability endpoints

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

Organizations & group practices 2

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1114351921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "address_2": "TERRY BUILDING 1402",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-1402",
            "fax_number": "954-262-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N LINDBERGH BLVD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315904",
            "telephone_number": "314-921-9377",
            "fax_number": "314-921-9377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Gravois Rd",
            "address_purpose": "LOCATION",
            "city": "Affton",
            "state": "MO",
            "postal_code": "631234025",
            "country_code": "US",
            "telephone_number": "314-282-9050",
            "fax_number": "314-282-9051",
            "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",
            "fax_number": "314-227-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12681 Dorsett Rd",
            "address_purpose": "LOCATION",
            "city": "Maryland Heights",
            "state": "MO",
            "postal_code": "630432100",
            "country_code": "US",
            "telephone_number": "314-786-3800",
            "fax_number": "314-786-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6415 Chippewa St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631092104",
            "country_code": "US",
            "telephone_number": "314-457-1880",
            "fax_number": "314-457-8184",
            "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",
            "fax_number": "314-821-4189",
            "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",
            "fax_number": "314-621-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3122 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631181012",
            "country_code": "US",
            "telephone_number": "314-450-7313",
            "fax_number": "314-450-7314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "933 Highway K",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633662910",
            "country_code": "US",
            "telephone_number": "636-379-4288",
            "fax_number": "636-272-2765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 S University Dr",
            "address_2": "Terry Building 1402",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282018",
            "country_code": "US",
            "telephone_number": "954-262-1402",
            "fax_number": "954-262-3217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMANN",
        "first_name": "ALEXANDRA",
        "middle_name": "SCHUETTE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002827",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OFC61",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2016005437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "SCHUETTE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.