Individual provider Active NPI

Philip E. Treu, O.D.

  • Optometrist
  • Richmond Heights, MO
National Provider Identifier
1225073182
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03309 Issued in MO
Practice address
15 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118
Phone
(314) 863-4200
Fax
(314) 863-3570
NPI assigned
Jun 17, 2006
Last updated
Mar 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03309 MO Primary

Addresses

Primary practice location

15 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118

Mailing address

15 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118
Phone (314) 863-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721000866 NM Practitioner - Optometry 4981739844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri, Kansas City, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottonwood Vision Care LLCGroup PAC ID 3173504412, 4 clinicians

Practice addresses (Care Compare)

1646 Alameda Blvd NW
Albuquerque, NM 87114-8807
Phone (505) 452-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9454TXMDChiropractor
T03309MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of St Louis LLC PastSince Jun 6, 2000 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1225073182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 THE BOULEVARD SAINT LOUIS",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171118",
            "telephone_number": "314-863-4200",
            "fax_number": "314-863-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 THE BOULEVARD SAINT LOUIS",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171118",
            "telephone_number": "314-863-4200",
            "fax_number": "314-863-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREU",
        "first_name": "PHILIP",
        "middle_name": "E.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

Verify at the official NPI Registry.