Individual provider Active NPI

Deborah Lynn Kerber, O.D.

  • Optometrist
  • Florissant, MO
National Provider Identifier
1356334882
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03049 Issued in MO
Practice address
875 Saint Francois St
Florissant, MO 63031-4923
Phone
(314) 839-2400
Fax
(314) 839-2403
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03049 MO Primary
Corneal and Contact Management Optometrist 152WC0802X T03049 MO
Pediatric Optometrist 152WP0200X T03049 MO

Addresses

Primary practice location

875 Saint Francois St
Florissant, MO 63031-4923

Mailing address

875 Saint Francois St
Florissant, MO 63031-4923
Phone (314) 839-2400

Other identifiers 1

IdentifierTypeStateIssuer
318523602MedicaidMO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100610001149 MO Practitioner - Optometry 2668502063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resler-Kerber Optometry, IncGroup PAC ID 0941330344, 3 clinicians

Practice addresses (Care Compare)

875 Rue Saint Francois St
Florissant, MO 63031-4923
Phone (314) 839-2400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resler-Kerber Optometry, Inc. Optometrist CurrentSince Jan 1, 1992 Accepting new patients
Resler-Kerber Optometry, Inc. CurrentSince Jan 1, 1992 Accepting new patients

Locations

875 Rue Saint Francois St
Florissant, MO 63031
Phone (314) 839-2400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1356334882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 SAINT FRANCOIS ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314923",
            "telephone_number": "314-839-2400",
            "fax_number": "314-839-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 SAINT FRANCOIS ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314923",
            "telephone_number": "314-839-2400",
            "fax_number": "314-839-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBER",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03049",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "T03049",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "T03049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318523602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.