Individual provider Active NPI

Robert Joseph Olk, MD

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1265429245
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R9531 Issued in MO
Practice address
11710 Old Ballas Rd
Suite 102
Saint Louis, MO 63141-7076
Phone
(314) 569-2020
Fax
(314) 569-1596
NPI assigned
Oct 4, 2005
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R9531 MO Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X R9531 MO

Addresses

Primary practice location

11710 Old Ballas Rd
Suite 102
Saint Louis, MO 63141-7076

Mailing address

11710 Old Ballas Rd
Suite 102
Saint Louis, MO 63141-7076
Phone (314) 569-2020

Other identifiers 13

IdentifierTypeStateIssuer
180036813 CI6574OtherILMEDICARE RAILROAD
2498755005OtherMOCIGNA
14566OtherMOESSENCE
201519345MedicaidMO
101062OtherMOHEALTHLINK
106672OtherMOBLUE SHIELD
6739OtherMOHEALTHCARE USA
63192OtherMOGROUP HEALTH PLAN
A13535OtherMOMERCY HEALTH PLANS
008245OtherMOEXCLUSIVE
0882289OtherMOUNITED HEALTH CARE
180027468 CD5617OtherMORAILROAD MEDICARE
IL4498001OtherILIL MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040521000676 IL Practitioner - Ophthalmology 1153312731 Reassigns benefits to 2 organizations
I20040624001650 MO Practitioner - Ophthalmology 1153312731 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rush Medical College of Rush University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Center PCGroup PAC ID 5890758296, 2 clinicians
St. Louis Eye ClinicGroup PAC ID 2961559844, 3 clinicians
Advanced Sight Center, Inc.Group PAC ID 7113983404, 3 clinicians

Practice addresses (Care Compare)

11710 Old Ballas Rd
Suite 102
Saint Louis, MO 63141-7076
Phone (314) 569-2020

12818 Tesson Ferry Rd
Suite 102 104
Saint Louis, MO 63128-2613
Phone (314) 892-8211

1351 Jefferson St
Washington, MO 63090-6449
Phone (636) 239-1650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.78 of 100Reported as group
Quality
73.33
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
93.03 of 100Reported as group
Quality
82.46
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R9531MOMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nucrown,Inc. CurrentSince Sep 1, 2007 Accepting new patients
Missouri Eye Associates LLC Ophthalmology CurrentSince May 1, 2001 Accepting new patients
Bond Eye Associates, SC Ophthalmology CurrentSince Sep 1, 2003 Accepting new patients
Nu-Crown, LLC CurrentSince Sep 1, 2007 Accepting new patients
JFJ Eyecare LTD CurrentSince Sep 1, 2017 Accepting new patients
St. Louis Eye Clinic Ophthalmology CurrentSince Jan 1, 2019 Accepting new patients
JFJ Eyecare, LTD CurrentSince Sep 1, 2017 Accepting new patients
St. Louis Eye Clinic CurrentSince Jan 1, 2019 Accepting new patients
O'Donnell Eye Institute, Inc. Past Accepting new patients

Locations

211 E Broadway
Alton, IL 62002
Phone (314) 787-0681

406 E Broadway
Alton, IL 62002
Phone (618) 462-0340

408 W 2nd St
Centralia, IL 62801
Phone (618) 532-5531

725 S 14th St
Pekin, IL 61554
Phone (309) 353-1579

3990 N Illinois St
Swansea, IL 62226
Phone (618) 235-3100

1055 Bowles Ave
Ste 100
Fenton, MO 63026
Phone (314) 257-3390

11710 Old Ballas Rd
Ste 102
Saint Louis, MO 63141
Phone (314) 275-2020

12601 Olive Blvd
Saint Louis, MO 63141
Phone (314) 878-2222

12818 Tesson Ferry Rd
Ste 102104
Saint Louis, MO 63128
Phone (314) 352-9800

2900 Lemay Ferry Rd
Ste 120
Saint Louis, MO 63125
Phone (314) 892-8211

4145 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 533-1898

525 Couch Ave
Saint Louis, MO 63122
Phone (314) 317-9960

1351 Jefferson St
Ste 110
Washington, MO 63090
Phone (636) 239-1650

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: robert.olk.p1@direct.bondeye.nextgenshare.com
  • Direct secure messaging: rolk@ascmo.intellechartdirect.net
  • Direct secure messaging: rolk22990@direct-ehr-ssmhc.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1265429245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 OLD BALLAS RD",
            "address_2": "SUITE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417076",
            "telephone_number": "314-569-2020",
            "fax_number": "314-569-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 OLD BALLAS RD",
            "address_2": "SUITE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417076",
            "telephone_number": "314-569-2020",
            "fax_number": "314-569-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLK",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R9531",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "R9531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180036813 CI6574",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2498755005",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE",
            "identifier": "14566",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201519345",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "101062",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "106672",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "6739",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "63192",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "A13535",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCLUSIVE",
            "identifier": "008245",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0882289",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180027468 CD5617",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL MEDICARE",
            "identifier": "IL4498001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.