Individual provider Active NPI

Eliot G Masek, O.D.

  • Optometrist
  • Farmington, MO
National Provider Identifier
1134432149
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2011037694 Issued in MO
Practice address
537 W Karsch Blvd
Farmington, MO 63640-3312
Phone
(573) 747-4133
Fax
(573) 747-4533
NPI assigned
Jul 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010396 IL
Low Vision Rehabilitation Optometrist 152WL0500X 046010396 IL
Low Vision Rehabilitation Optometrist 152WL0500X 2011037694 MO
Optometrist 152W00000X 2011037694 MO Primary

Addresses

Primary practice location

537 W Karsch Blvd
Farmington, MO 63640-3312

Mailing address

40 E North St
Eureka, MO 63025-1205
Phone (636) 200-4393

Other identifiers 1

IdentifierTypeStateIssuer
046010396MedicaidIL

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
I20120508000117 MO Practitioner - Optometry 2466645312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Eye Consultants OptometryGroup PAC ID 2769574714, 14 clinicians

Practice addresses (Care Compare)

500 N Keene St
Suite 103
Columbia, MO 65201-8104
Phone (573) 874-2030

Merit-based Incentive Payment System (MIPS)

Final score
91.71 of 100Reported as group
Quality
95.95
Improvement activities
40
Cost
77.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010396ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry, Inc Optometrist CurrentSince Sep 1, 2015 Accepting new patients
Clarkson Optometry Inc Optometrist CurrentSince Sep 1, 2015 Accepting new patients
Columbia Eye Consultants Optometry Optometrist CurrentSince May 1, 2020 Accepting new patients
Columbia Eyewear Past Accepting new patients
Spectrios Institute for Low Vision Low Vision Rehabilitation PastSince Jul 1, 2015 Accepting new patients

Locations

500 N Keene St
Ste 103
Columbia, MO 65201
Phone (573) 874-2030

537 W Karsch Blvd
Farmington, MO 63640
Phone (573) 747-4133

100 S Jackson St
Perryville, MO 63775
Phone (573) 334-5265

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

Interoperability endpoints

  • Direct secure messaging: eliot.masek@direct.revolutionehr.com
  • Direct secure messaging: eliotmasek@direct.eyecare-partners.com

Organizations & group practices 5

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1134432149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E NORTH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251205",
            "telephone_number": "636-200-4393",
            "fax_number": "636-938-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W KARSCH BLVD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403312",
            "telephone_number": "573-747-4133",
            "fax_number": "573-747-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASEK",
        "first_name": "ELIOT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010396",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IL",
            "license": "046010396",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "2011037694",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2011037694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010396",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.