Individual provider Active NPI

Jessica Tu, OD

  • Optometrist
  • Kirkwood, MO
National Provider Identifier
1255867149
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2018034549 Issued in MO
Practice address
200 S Kirkwood Rd Ste 130
Kirkwood, MO 63122-4335
Phone
(314) 394-3045
Fax
(314) 394-3049
NPI assigned
May 11, 2017
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046012138 IL
Optometrist 152W00000X 2018034549 MO Primary

Addresses

Primary practice location

200 S Kirkwood Rd Ste 130
Kirkwood, MO 63122-4335

Mailing address

804 Nandina Green Dr
O Fallon, IL 62269-2322
Phone (787) 628-1256

Other practice location 1

735 Insight Ave
O Fallon, IL 62269-2193
Phone (618) 628-2903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20181101003249 MO Practitioner - Optometry 0840561379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirkwood Eye Associates LLCGroup PAC ID 3779884986, 3 clinicians
Curators of the University of MissouriGroup PAC ID 6800704560, shared by 12 NPIs, 19 clinicians

Practice addresses (Care Compare)

200 S Kirkwood Rd
Suite 130
Kirkwood, MO 63122-4335
Phone (314) 394-3045

3940 Lindell Blvd
Saint Louis, MO 63108-3204
Phone (314) 516-5016

7840 Natural Bridge Rd
Saint Loius, MO 63121-4617
Phone (314) 516-5131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046012138ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkwood Eye Associates LLC Optometrist CurrentSince May 12, 2025 Accepting new patients
Curators of the University of Missouri Optometrist CurrentSince Oct 22, 2018 Accepting new patients
Curators of the University of Missouri CurrentSince Oct 22, 2018 Accepting new patients
Curators of the University of Missouri Optometrist CurrentSince Oct 22, 2018 Accepting new patients
Indiana University Optometrist Past Accepting new patients

Locations

1 University Blvd
Saint Louis, MO 63121
Phone (314) 516-5131

200 S Kirkwood Rd
Ste 130
Saint Louis, MO 63122
Phone (314) 394-3045

3940 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 516-5016

7840 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 382-6400

Organizations & group practices 5

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1255867149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 NANDINA GREEN DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692322",
            "telephone_number": "787-628-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S KIRKWOOD RD STE 130",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224335",
            "telephone_number": "314-394-3045",
            "fax_number": "314-394-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Insight Ave",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622692193",
            "country_code": "US",
            "telephone_number": "618-628-2903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TU",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046012138",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2018034549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

Verify at the official NPI Registry.