Active NPI
Robin Leslie Meyer, O. D,
- Optometrist
- Ballwin, MO
National Provider Identifier
1124031273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03189
- Practice address
- 13901 Manchester Rd
Ballwin, MO 63011-4505 - Phone
- (636) 256-3285
- Fax
- (636) 527-3038
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T03189 | MO | Primary |
Addresses
Primary practice location
13901 Manchester Rd
Ballwin, MO 63011-4505
Mailing address
1325 Yaqui Dr
Florissant, MO 63031-7344
Phone (314) 837-6098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T03189 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124031273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 YAQUI DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630317344",
"telephone_number": "314-837-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13901 MANCHESTER RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114505",
"telephone_number": "636-256-3285",
"fax_number": "636-527-3038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "ROBIN",
"middle_name": "LESLIE",
"credential": "O. D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.