NPIMap

Organization Active NPI

Harry C Eggleston MD PC II

Doing business as eagle eye care

  • Ophthalmology Physician
  • Creve Coeur, MO
National Provider Identifier
1194906156
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R4544 Issued in MO
Legal business name
HARRY C EGGLESTON MD PC II
Doing business as
eagle eye care
Practice address
633 Emerson Rd
Ste 100
Creve Coeur, MO 63141-6739
Phone
(314) 872-7744
Fax
(314) 810-5296
NPI assigned
Nov 19, 2007
Last updated
Apr 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Dr. Harry Eggleston, MDNPI 1912995317
Title
Owner
Phone
(314) 872-7744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X R4544 MO Primary

Addresses

Primary practice location

633 Emerson Rd
Ste 100
Creve Coeur, MO 63141-6739

Mailing address

PO Box 790051
Saint Louis, MO 63179-0051
Phone (314) 872-7744

Other identifiers 9

IdentifierTypeStateIssuer
101139OtherMOHEALTHLINK
CS9334OtherMORAILROAD MEDICRE
17203OtherMOBCBS
A10830OtherMOGREAT WEST HEALTHCARE
069464001OtherMOCIGNA
4039678OtherMOAETNA
45050OtherMOGHP
000011504OtherMOMEDICARE PIN
0800077OtherMOUNITED HEALTHCARE

Other names 1

  • eagle eye care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1194906156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790051",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790051",
            "telephone_number": "314-872-7744",
            "fax_number": "314-810-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD",
            "address_2": "STE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-872-7744",
            "fax_number": "314-810-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY C EGGLESTON MD PC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-872-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R4544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "101139",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICRE",
            "identifier": "CS9334",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17203",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "A10830",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "069464001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4039678",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "45050",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "000011504",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0800077",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eagle eye care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.