Individual provider Active NPI

Maggie Ellen Pohlmeier, OD

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1275150757
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2020015787 Issued in MO
Practice address
621 S New Ballas Rd Ste 5006B
Saint Louis, MO 63141-8270
Phone
(314) 251-5300
NPI assigned
Jun 30, 2020
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2020015787 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 5006B
Saint Louis, MO 63141-8270

Mailing address

621 S New Ballas Rd Ste 5006B
Saint Louis, MO 63141-8270
Phone (314) 251-5300

Other identifiers 1

IdentifierTypeStateIssuer
2020015787OtherMOMISSOURI BOARD OF OPTOMETRY

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
I20201007000956 MO Practitioner - Optometry 3678992880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Ophthalmology LLCGroup PAC ID 1951544428, 17 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 5006B
Saint Louis, MO 63141-8270
Phone (314) 251-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Ophthalmology LLC CurrentSince Feb 13, 2023 Accepting new patients
Nucrown,Inc. Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Nu-Crown, LLC Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Paige Hedgpath Odpc Optometrist CurrentSince Apr 22, 2024 Accepting new patients
Paige Hedgpath OD,PC Optometrist CurrentSince Apr 22, 2024 Accepting new patients

Locations

1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331

1709 Missouri Blvd
Ste Ijk
Jefferson City, MO 65109
Phone (573) 635-1313

323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313

10867 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 817-5367

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

621 S New Ballas Rd
Ste 140A
Saint Louis, MO 63141
Phone (314) 251-5300

621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300

6756 Chippewa St
Saint Louis, MO 63109
Phone (314) 351-4991

901 Patients First Dr
Ste 2600
Washington, MO 63090
Phone (636) 231-3651

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.

Hospital & facility affiliations 2

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": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1275150757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 5006B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418270",
            "telephone_number": "314-251-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 5006B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418270",
            "telephone_number": "314-251-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHLMEIER",
        "first_name": "MAGGIE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2020015787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF OPTOMETRY",
            "identifier": "2020015787",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.