Frank Wasserman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02190 Issued in MO

Practice address

36 Four Seasons
#202
Chesterfield, MO 63017

Phone

(317) 727-7727

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO, FL, IL, GA4 enrollments

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 4

Specialty

Optometry

Education

Southern College of Optometry, 1972

Medicare assignment

May accept Medicare assignment

Group practices

Aria Vision Care, LLCGroup PAC ID 9638571524, 8 clinicians

Doug Streifel LLCGroup PAC ID 7315193836, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (10 of 11)

Locations

Networks

• Freedom Health HMO Network

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.

• Aria Vision Care, LLC

  • Optometrist
  • Overland Park, KS
  • NPI 1992370993

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Doug Streifel LLC

  • Optometrist
  • Omaha, NE
  • NPI 1710249172

  GA, Optometrist

  Medicare reassignment Care Compare group NPD
• Mexcellent Enterprises LLC

  • Optometrist
  • St. Louis, MO
  • NPI 1609573831

  MO, Optometrist

  Medicare reassignment NPD
• Aria Vision Care, P.a.

  • Optometrist
  • Plantation, FL
  • NPI 1023778172

  FL, Optometrist

  Medicare reassignment NPD
• Essential Eyecare, LLC

  • Optometrist
  • Saint Louis, MO
  • NPI 1891358115
  NPD Authorized official
• Advanced Neuro Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Chesterfield, MO
  • NPI 1376822791
  NPD (past)
• Eagle Vision Eye Care, LLC

  • Optometrist
  • Saint Louis, MO
  • NPI 1891485470
  NPD (past)
• Overland Medical Center

  • Internal Medicine Physician
  • Overland, MO
  • NPI 1679637870
  NPD (past)
• Nu-Crown, LLC

  • Optometrist
  • Alton, IL
  • NPI 1295737294
  NPD (past)
• Primehealth of Kentucky LLC

  • Podiatrist
  • Louisville, KY
  • NPI 1922551308

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1154338481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FOUR SEASONS",
            "address_2": "#202",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 FOUR SEASONS",
            "address_2": "#202",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "317-727-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "FRANK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02190",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP1126",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003490",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA OPTOMETRY LICENSE",
            "identifier": "OPT003490",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA OPTOMETRY LICENSE",
            "identifier": "OP1126",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310753744",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ware, DC
• Corinna Warren, M.D.
• Washington University
• Washington University
• Maya Simone Washington, STUDENT
• Wasserstrom Counseling Services LLC
• Monika Watkins, N.P.
• Leanne E. Watson-Ficken, D.O.
• Dre'Neisha Watson
• Sanford I Wax, DDS

• All providers in Chesterfield, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.