Individual provider Active NPI

Janae Kadlec, OD

  • Optometrist
  • Richmond Heights, MO
National Provider Identifier
1164563151
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03307 Issued in MO
Practice address
15 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118
Phone
(314) 863-4200
Fax
(314) 863-3570
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03307 MO Primary

Addresses

Primary practice location

15 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118

Mailing address

15 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118
Phone (314) 863-4200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@eyecareassociatesrichmondhtsmo.compulinkdirect.com Direct

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
I20070827000822 MO Practitioner - Optometry 0042302689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of St Louis LLCGroup PAC ID 7416053608, 5 clinicians

Practice addresses (Care Compare)

15 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118
Phone (314) 863-4200

Merit-based Incentive Payment System (MIPS)

Final score
86.03 of 100Reported as group
Quality
93.27
Improvement activities
40
Cost
62.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T03307MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of St Louis LLC CurrentSince Dec 1, 2010 Accepting new patients
Pearle Vision Inc Past Accepting new patients
Luxottica Retail North America Inc Optometrist Past Accepting new patients

Locations

9806 Watson Rd
Saint Louis, MO 63126
Phone (314) 842-3130

15 The Boulevard Saint Louis
Saint Louis, MO 63117
Phone (314) 863-4200

Interoperability endpoints

  • Direct secure messaging: direct@eyecareassociatesrichmondhtsmo.compulinkdirect.com

Organizations & group practices 3

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": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1164563151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 THE BOULEVARD SAINT LOUIS",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171118",
            "telephone_number": "314-863-4200",
            "fax_number": "314-863-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 THE BOULEVARD SAINT LOUIS",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171118",
            "telephone_number": "314-863-4200",
            "fax_number": "314-863-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADLEC",
        "first_name": "JANAE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@eyecareassociatesrichmondhtsmo.compulinkdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "15 The Boulevard Saint Louis",
            "city": "Richmond Heights",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

Verify at the official NPI Registry.