Jill Mogil, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

T02571 Issued in MO

Practice address

2821 N Ballas Rd Ste C11
Saint Louis, MO 63131-2313

Phone

(833) 376-6445

Fax

(314) 312-6984

NPI assigned

May 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Jill Mirowitz Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gateway Low Vision LLC

  • Low Vision Rehabilitation Optometrist
  • Saint Louis, MO
  • NPI 1366037244
  Medicare reassignment NPD Authorized official
• Gateway Low Vision LLC

  • Low Vision Rehabilitation Optometrist
  • Creve Coeur, MO
  • NPI 1538752811
  NPD

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1285953844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11805",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631050605",
            "telephone_number": "888-376-6445",
            "fax_number": "314-312-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE C11",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312313",
            "telephone_number": "833-376-6445",
            "fax_number": "314-312-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGIL",
        "first_name": "JILL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007879",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2571",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "T02571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "991722003",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0009359551",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI NUMBER",
            "identifier": "1285953844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MIROWITZ",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Moffatt
• Stephanie Mofield, FNP-C
• Ricky Stuart Mofsen, D.O.
• Nikhil Mogalapalli, MD
• Mogene Clinical Diagnostics LC
• Lisa Beth Mogil, MD
• Taha Mohamed Djirdeh, MD
• Mohamed Elsafi, DDS LLC
• Fatima Ibrahim Mohamed, DENTAL HYGIENIST
• Mohamed Amin Mohamed

• Low Vision Rehabilitation Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Low Vision Rehabilitation Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.

Verify at the official NPI Registry.