Thomas L Monje, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02138 Issued in MO

Practice address

622 Gravois Rd
Fenton, MO 63026-4137

Phone

(636) 343-6664

Fax

(636) 326-1616

NPI assigned

Nov 18, 2005

Last updated

Nov 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1326020769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 GRAVOIS RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630264137",
            "telephone_number": "636-343-6664",
            "fax_number": "636-326-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 GRAVOIS RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630264137",
            "telephone_number": "636-343-6664",
            "fax_number": "636-326-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONJE",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri CVS Pharmacy LLC (CVS Pharmacy #16657)
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18052)
• Missouri LTC Pharmacy LLC (Infinium Pharmacy)
• Missouri Medical Partners LLC
• Joseph Walter Moleski Jr., D.O.
• Marco Moreno, R.EEG T.
• Kurt Richard Morgester, D.M.D.
• Stacey A Mormol, CRNA
• Rebecca Morris, PT
• Sequita M Morris, MD

• Optometrist in Fenton, MO
• Providers in Fenton, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.