Active NPI
O'Fallon Family Eye Care LLC
- Optometrist
- O Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2004030855
- Legal business name
- O'FALLON FAMILY EYE CARE LLC
- Practice address
- 4142 Keaton Crossing Blvd Ste 102
O Fallon, MO 63368-8403 - Phone
- (636) 614-4655
- NPI assigned
- Jan 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph P Hegyi, O.D.
- Title
- Owner
- Phone
- (314) 775-7352
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2004030855 | MO | Primary |
Addresses
Primary practice location
4142 Keaton Crossing Blvd Ste 102
O Fallon, MO 63368-8403
Mailing address
4142 Keaton Crossing Blvd Ste 102
O Fallon, MO 63368-8403
Phone (636) 614-4655
Other names 1
- O'Fallon Family Eyecare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4142 Keaton Crossing Blvd
Ste 102
O Fallon, MO 63368
Phone (636) 205-4639
4142 Keaton Crossing Blvd
Ste 103
O Fallon, MO 63368
Phone (636) 614-4655
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- O Fallon, MO
- NPI 1649263856
-
- Optometrist
- Saint Peters, MO
- NPI 1689643249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1295030922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4142 KEATON CROSSING BLVD STE 102",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688403",
"telephone_number": "636-614-4655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4142 KEATON CROSSING BLVD STE 102",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688403",
"telephone_number": "636-614-4655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'FALLON FAMILY EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-11",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "HEGYI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-775-7352",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "2004030855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "O'Fallon Family Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in O Fallon, MO
- John J. O'Brien, M.D.
- John J O'Connor, M.D.
- O'Fallon Dental Partnership, Barry Brace, DMD and Associates, LLC
- O'Fallon Dermatology Specialists, P.C.
- O'Fallon Family Dentistry
- O'Fallon Marital & Family Counseling and Wellness Center
- O'Fallon Pain Center
- O'Fallon Pain Relief Associates LLC
- O'Fallon Pharmacy, LLC
- O'Fallon Physician Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.