Organization Active NPI

Comprehensive Eye Care, LTD.

  • Medical Specialty Clinic/Center
  • Washington, MO
National Provider Identifier
1205856119
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
R1P88 Issued in MO
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

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Dr. Michael S Korenfeld, MDNPI 1174515613
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500561303MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930045354 MO DME Supplier - Physician - OphthalmologyDME Supplier - Optician 2769501899 Practice locations: Washington, MO
O20101030000058 MO Part B Supplier - Clinic/Group Practice 2769501899 Receives reassigned benefits from 4 practitioners
Practice locations: Washington, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2008253Comprehensive Eye Care, LTD901 East 3Rd Street, Washington, MO 63090Certificate of waiverJun 7, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Comprehensive Eye Care LTD901 E 3Rd St, Washington, MO 63090-3010(636) 390-3999 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

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.

Verify at the official NPI Registry.