Active NPI
George Joseph Dowdy, OD
- Optometrist
- Creve Coeur, MO
National Provider Identifier
1285252262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2020020105
- Practice address
- 12422 Olive Blvd
Creve Coeur, MO 63141-6392 - Phone
- (314) 579-0909
- NPI assigned
- Jul 7, 2020
- 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 | 2020020105 | MO | Primary |
Addresses
Primary practice location
12422 Olive Blvd
Creve Coeur, MO 63141-6392
Mailing address
12422 Olive Blvd
Creve Coeur, MO 63141-6392
Phone (314) 579-0909
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
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
Practice addresses (Care Compare)
12422 Olive Blvd
Creve Coeur, MO 63141-6392
Phone (314) 579-0909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020020105 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optical Expressions LLC | Optometrist | Current | Accepting new patients |
Locations
7718 Forsyth Blvd
Clayton, MO 63105
Phone (314) 721-0909
12422 Olive Blvd
Saint Louis, MO 63141
Phone (314) 579-0909
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1285252262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12422 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416392",
"telephone_number": "314-579-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12422 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416392",
"telephone_number": "314-579-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWDY",
"first_name": "GEORGE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2020020105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.