Premium Vision Solutions, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2003002151 Issued in MO

Legal business name

PREMIUM VISION SOLUTIONS, LLC

Doing business as

Fontana Eyecare Associates

Practice address

6451 Chippewa St
Saint Louis, MO 63109-2104

Phone

(314) 353-6171

Fax

(314) 353-0031

NPI assigned

Dec 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Alan Kempf, O.D.NPI 1386604411

Title

Owner

Phone

(314) 353-6171

Specialties & licenses 1

Addresses

Other names 1

• Fontana Eyecare Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Alan Kempf, O.D.

  • Optometrist
  • Saint Louis, MO
  • NPI 1386604411
  Medicare reassignment Care Compare group NPD Authorized official
• Alex Amann

  • Optometrist
  • Saint Louis, MO
  • NPI 1942740212
  Medicare reassignment Care Compare group NPD
• Tyler Michael Aholt, DDS

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1548520570
  NPD (past)
• Lester C Joern Jr., D.D.S.

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1154404879
  NPD (past)
• Melissa Hillhouse Rea, DDS

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1780765263
  NPD (past)
• Paul Douglas Becherer, O.D.

  • Optometrist
  • Belleville, IL
  • NPI 1780772053
  NPD (past)
• Lesley K Olswing, O.D.

  • Optometrist
  • Ames, IA
  • NPI 1902069305
  NPD (past)

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1174944011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092104",
            "telephone_number": "314-353-6171",
            "fax_number": "314-353-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092104",
            "telephone_number": "314-353-6171",
            "fax_number": "314-353-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM VISION SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "KEMPF",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-353-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2003002151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fontana Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fontana Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jason Andrew Prescott, MA, LPC
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• Annette Presley

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.