Jermik Systems, LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

30117 Issued in MO

Legal business name

JERMIK SYSTEMS, LTD

Doing business as

Kursar Eyecare, Ltd.

Practice address

3454 McKelvey Rd
Bridgeton, MO 63044-2533

Phone

(314) 291-7717

Fax

(314) 291-7372

NPI assigned

Dec 21, 2007

Last updated

Dec 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald H Kursar, DO

Title

Owner

Phone

(314) 291-7717

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Kursar Eyecare, Ltd. Doing business as

Tax ID family

Jermik Systems LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jermik Systems, LTD

  dba Kursar Eyecare, Ltd.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1609823863
  NPD tax ID

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1285818542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442533",
            "telephone_number": "314-291-7717",
            "fax_number": "314-291-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442533",
            "telephone_number": "314-291-7717",
            "fax_number": "314-291-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERMIK SYSTEMS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "KURSAR",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-291-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2001018118",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2005020537",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "30117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23976",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ9636",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240438606",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kursar Eyecare, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanna Janwatanagool, PHARMD
• Mohammad Ali Javed, DO
• Jeff L Jefferson, BA
• Jeffrey S Boberg DPM LLC (Ankle & Foot Surgeons of the Midwest)
• Emily Nicole Jensen
• John P Hoehn III MD Facs PC
• Kristy B Johnson-Herrell, MA, LPC
• Lakita A Johnson-Holmes, PHARM D
• Amarilis Johnson
• Amber Renee Johnson, PAC MMS

• Ophthalmology Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.