Eye Surgeons and Physicians of St Louis LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R1168 Issued in MO

Legal business name

EYE SURGEONS AND PHYSICIANS OF ST LOUIS LTD

Practice address

3454 McKelvey Rd
Bridgeton, MO 63044-2533

Phone

(314) 469-1122

Fax

(314) 822-6281

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jack Hartstein, MD

Title

Owner

Phone

(314) 469-1122

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1285891622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD",
            "address_2": "SUITE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223383",
            "telephone_number": "314-469-1122",
            "fax_number": "314-822-6281"
        },
        {
            "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": "314-469-1122",
            "fax_number": "314-822-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGEONS AND PHYSICIANS OF ST LOUIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "HARTSTEIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-469-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R1168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180024506",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2112",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201539103",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor M Estevez, M.D.
• Merlinda T Eulalia, PHYSICAL THERAPIST
• Cynthia Evers, LCSW
• Exquisite Healthcare LLC
• Eye Physicians of St Louis
• Chizoba Joakin Ezepue, MD
• Rochelle Ezo, LMSW
• Fairview Heights Medical Group SC
• Family Spinal Health and Rehabilitation Center, Inc.
• Kristyn N Fantroy

• 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 Nov 25, 2008; 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.