Active NPI
Comprehensive Eye Care, LTD.
- Medical Specialty Clinic/Center
- Washington, MO
National Provider Identifier
1205856119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- R1P88
- Legal business name
- COMPREHENSIVE EYE CARE, LTD.
- Practice address
- 901 E 3Rd St
Washington, MO 63090-3010 - Phone
- (636) 390-3999
- Fax
- (636) 390-3959
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael S Korenfeld, MD
- Title
- President
- Phone
- (636) 390-3999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | R1P88 | MO | Primary |
Addresses
Primary practice location
901 E 3Rd St
Washington, MO 63090-3010
Mailing address
901 E 3Rd St
Washington, MO 63090-3010
Phone (636) 390-3999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500561303 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2008253 | Comprehensive Eye Care, LTD | Certificate of waiver | Jun 7, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Comprehensive Eye Care LTD | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Washington, MO
- NPI 1174515613
-
- Ophthalmology Physician
- Chesterfield, MO
- NPI 1548296452
-
- Optometrist
- Town and Country, MO
- NPI 1205557196
-
- Optometrist
- High Ridge, MO
- NPI 1629566070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664323200000",
"number": "1205856119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 3RD ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903010",
"telephone_number": "636-390-3999",
"fax_number": "636-390-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 3RD ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903010",
"telephone_number": "636-390-3999",
"fax_number": "636-390-3959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE EYE CARE, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A",
"authorized_official_last_name": "KORENFELD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "636-390-3999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MO",
"license": "R1P88",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500561303",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.