Richard J. St. Louis O.D. PLLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

4901002559 Issued in MI

Legal business name

RICHARD J. ST. LOUIS O.D. PLLC

Practice address

4486 W Walton Blvd
Waterford, MI 48329-4073

Phone

(248) 673-7601

Fax

(248) 673-1317

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard James St. Louis, O.D.

Title

Optometrist/President

Phone

(248) 673-7601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet T Lomasney, OD

  • Optometrist
  • Port Huron, MI
  • NPI 1417920596
  Medicare reassignment NPD
• Anne Marie St. Louis, O.D.

  • Optometrist
  • Waterford, MI
  • NPI 1730520933
  Medicare reassignment NPD

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1295031060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 W WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294073",
            "telephone_number": "248-673-7601",
            "fax_number": "248-673-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4486 W WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294073",
            "telephone_number": "248-673-7601",
            "fax_number": "248-673-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. ST. LOUIS O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "ST. LOUIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "248-673-7601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "4901002559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Renaud
• Sadie Renaud
• Restorative Compounding Pharmacy and Wellness LLC
• Richard C Bolten DDS PC
• Richard J. St. Louis O.D. P.C.
• Arleta Diana Richardson, BA.M.ED.LLPC. CAADC
• Jay M Richman, D.D.S.
• Ridge Transportation Inc.
• Assenith Riggs, REGISTERED NURSE
• Right Choice Care Center LLC

• Eyewear Supplier in Waterford, MI
• Providers in Waterford, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.

Verify at the official NPI Registry.