NPIMap

Organization Active NPI

Pepose Vision Institute, PC

  • Eyewear Supplier
  • Chesterfield, MO
National Provider Identifier
1225211477
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PEPOSE VISION INSTITUTE, PC
Practice address
1815 Clarkson Road
Chesterfield, MO 63017-5065
Phone
(636) 728-0111
Fax
(636) 728-0093
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Dr. Jay Stuart Pepose, M.D., PHD.NPI 1134111446
Title
Medical Director
Phone
(636) 728-0111

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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1815 Clarkson Road
Chesterfield, MO 63017-5065

Mailing address

1815 Clarkson Road
Chesterfield, MO 63017-5065
Phone (636) 728-0111

Other names 1

  • Precision Optix Doing business as

National Provider Directory

National Provider Directory

Locations

1815 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 728-0111

Practitioners & affiliated clinicians

Practitioners 9

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1225211477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CLARKSON ROAD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175065",
            "telephone_number": "636-728-0111",
            "fax_number": "636-728-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CLARKSON ROAD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175065",
            "telephone_number": "636-728-0111",
            "fax_number": "636-728-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPOSE VISION INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "PEPOSE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "636-728-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Optix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.