Glaucoma Consultants of St Louis, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

108445 Issued in MO

Legal business name

GLAUCOMA CONSULTANTS OF ST LOUIS, LLC

Practice address

224 S Woods Mill Rd
Ste 700S
Chesterfield, MO 63017-3451

Phone

(314) 469-1122

Fax

(314) 469-6709

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Martin Tesser, MDNPI 1215945720

Title

Owner/President

Phone

(314) 469-1122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

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

• Paul Martin Tesser, MD

  • Ophthalmology Physician
  • Chesterfield, MO
  • NPI 1215945720
  Medicare reassignment Care Compare group NPD Authorized official
• Jeremy A Beatty, O.D

  • Optometrist
  • Chesterfield, MO
  • NPI 1225198013
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1235147661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "STE 700S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-469-1122",
            "fax_number": "314-469-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "STE 700S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-469-1122",
            "fax_number": "314-469-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA CONSULTANTS OF ST LOUIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "TESSER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "314-469-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "108445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Ann Gillen, SLP
• Robert Andrew Gillespie, PH.D.
• Nicole Reinhardt Gills
• Rebecca Giunta
• Seth Gladson, D.M.D.
• Barbara L Glazer, LCSW
• Meghan C Gleason, CRNA
• Andrew Glickert
• Global Coalition Services, Inc.
• Global Psychiatric Associates Inc

• Ophthalmology Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.