Active NPI
Halle Catherine Hudson Neyens, OD
- Optometrist
- St. Louis, MO
National Provider Identifier
1275373680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2024019037
- Practice address
- 1465 S. Grand Blvd
Dept of Ophthalmology
St. Louis, MO 63104 - Phone
- (314) 268-4010
- NPI assigned
- May 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2024019037 | MO | Primary |
Addresses
Primary practice location
1465 S. Grand Blvd
Dept of Ophthalmology
St. Louis, MO 63104
Mailing address
1465 S. Grand Blvd
Dept of Ophthalmology
St. Louis, MO 63104
Phone (314) 268-4010
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024019037 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients |
Locations
1225 S Grand Blvd
#4
Saint Louis, MO 63104
Phone (314) 577-8007
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
Interoperability endpoints
- hneyens449338@direct-ehr-ssmhc.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1275373680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 S. GRAND BLVD",
"address_2": "DEPT OF OPHTHALMOLOGY",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63104",
"telephone_number": "314-268-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 S. GRAND BLVD",
"address_2": "DEPT OF OPHTHALMOLOGY",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63104",
"telephone_number": "314-268-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEYENS",
"first_name": "HALLE",
"middle_name": "CATHERINE HUDSON",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2024019037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.