Eye Surgeons & Physicians of St Louis LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R1168 Issued in MO

Legal business name

EYE SURGEONS & PHYSICIANS OF ST LOUIS LTD

Practice address

2315 Dougherty Ferry Rd Suite 101
Eye Surgeons & Physicians of St Louis
St. Louis, MO 63122

Phone

(314) 469-1122

Fax

(314) 822-6281

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack Hartstein, MD

Title

Owner President

Phone

(314) 469-1122

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1194733493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD SUITE 101",
            "address_2": "EYE SURGEONS & PHYSICIANS OF ST LOUIS",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-469-1122",
            "fax_number": "314-822-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD SUITE 101",
            "address_2": "EYE SURGEONS & PHYSICIANS OF ST LOUIS",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-469-1122",
            "fax_number": "314-822-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGEONS & PHYSICIANS OF ST LOUIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "HARTSTEIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "314-469-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R1168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180024506",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201539103",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Consultants of Il LTD
• Eye Glasses to Go Inc
• Eye Microsurgery, LTD.
• Eye Physicians of Saint Louis
• Eye Physicians of Saint Louis Inc.
• Eye Surgical Services LLC
• Eyecare Management LLC
• Eyewearhaus, Inc
• Blake Thomas Eyres, D.D.S.
• Chisom Eze, MD

• Ophthalmology Physician in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.