Active NPI
Daniel P Walsh, O.D.
- Optometrist
- Hazelwood, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03470
- Practice address
- 7934 N Lindbergh Blvd
Suite a
Hazelwood, MO 63042-3521 - Phone
- (314) 921-2020
- Fax
- (314) 921-7954
- NPI assigned
- May 27, 2005
- Sex
- Male
- 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 | T03470 | MO | Primary |
Addresses
Primary practice location
7934 N Lindbergh Blvd
Suite a
Hazelwood, MO 63042-3521
Mailing address
320 Brookes Dr
Suite 111
Hazelwood, MO 63042-2736
Phone (314) 726-5669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3990 N Illinois St
Swansea, IL 62226-1919
Phone (618) 277-1130
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.84 of 100
- Quality
- 92.01
- Improvement activities
- 40
- Cost
- 76.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T03470 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Illinois, P.C. | Optometrist | Current | Accepting new patients |
| JFJ Eyecare LTD | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Illinois, P.C. | Optometrist | Current | Accepting new patients |
| JFJ Eyecare, LTD | Optometrist | Current | Accepting new patients |
| Eyecare of Illinois LTD | Optometrist | Past | Accepting new patients |
Locations
5308 W Main St
Belleville, IL 62226
Phone (618) 233-2820
5308 W Main St
Ste 3A
Belleville, IL 62226
408 W 2nd St
Centralia, IL 62801
Phone (618) 532-5531
10 Lincoln Hwy
Ste 101
Fairview Hts, IL 62208
Phone (618) 624-0222
2421 Corporate Ctr
Ste 102
Granite City, IL 62040
Phone (618) 451-7925
12 Professional Park Dr
Maryville, IL 62062
Phone (618) 288-7266
3248 Green Mount Crossing Dr
Shiloh, IL 62269
Phone (618) 622-9225
3990 N Illinois St
Swansea, IL 62226
Phone (618) 235-3100
Organizations & group practices 6
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.
-
- Optometrist
- Ellisville, MO
- NPI 1497155345
-
- Optometrist
- Belleville, IL
- NPI 1932207073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1275536849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 BROOKES DR",
"address_2": "SUITE 111",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630422736",
"telephone_number": "314-726-5669",
"fax_number": "314-726-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7934 N LINDBERGH BLVD",
"address_2": "SUITE A",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630423521",
"telephone_number": "314-921-2020",
"fax_number": "314-921-7954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "DANIEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazelwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.