Organization Active NPI

Vision Care Consultants Inc

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1336321637
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CARE CONSULTANTS INC
Practice address
12121 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250
Phone
(314) 843-5700
Fax
(314) 843-1353
NPI assigned
Nov 29, 2007
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Dr. David B Seibel, O.D.NPI 1427058080
Title
President
Phone
(314) 843-5700

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)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

12121 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250

Mailing address

12121 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250
Phone (314) 843-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071218000054 MO Part B Supplier - Clinic/Group Practice 9335239169 Receives reassigned benefits from 4 practitioners
Practice locations: Saint Louis, MO
O20100930031801 MO DME Supplier - Physician - OptometristDME Supplier - Optician 9335239169 Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2019347Vision Care Consultants, Inc12121 Tesson Ferry Professional Center, Saint Louis, MO 63128Certificate of waiverApr 25, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vision Care Consultants Inc12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250(314) 843-5700 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

12121 Tesson Ferry Professional Ctr
Saint Louis, MO 63128
Phone (314) 843-5700

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1336321637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 TESSON FERRY PROFESSIONAL CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281250",
            "telephone_number": "314-843-5700",
            "fax_number": "314-843-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 TESSON FERRY PROFESSIONAL CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281250",
            "telephone_number": "314-843-5700",
            "fax_number": "314-843-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "SEIBEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-843-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.