Individual provider Active NPI

Lizabeth Marquart

  • Optometrist
  • Eureka, MO
National Provider Identifier
1356910913
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2021022457 Issued in MO
Practice address
54 The Legends Pkwy Ste 151
Eureka, MO 63025-3803
Phone
(636) 938-7010
Fax
(636) 938-7141
NPI assigned
Jun 18, 2021
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2021022457 MO Primary

Addresses

Primary practice location

54 The Legends Pkwy Ste 151
Eureka, MO 63025-3803

Mailing address

PO Box 207158
Dallas, TX 75320-7158
Phone (636) 200-4393

Other names 1

  • Lizabeth Marquart Fenstermaker Professional name

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
I20210622001330 MO Practitioner - Optometry 0244631760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry IncGroup PAC ID 0840411799, 82 clinicians
Biermann Eye Health P.C.Group PAC ID 0143453506, 3 clinicians

Practice addresses (Care Compare)

1595 Denmark Rd
Union, MO 63084-4911
Phone (636) 584-8989

3122 S Grand Blvd
The Spec Shoppe
St Louis, MO 63118-1012
Phone (314) 450-7313

320 Washington Ave
Washington, MO 63090-3218
Phone (636) 239-2179

330 W Osage St
Pacific, MO 63069-1331
Phone (636) 271-4500

54 The Legends Pkwy
Suite 151
Eureka, MO 63025-3803
Phone (636) 938-7010

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
Biermann Eye Health P.C. Optometrist CurrentSince Feb 16, 2026 Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients

Locations

320 Washington Ave
Washington, MO 63090
Phone (314) 239-2179

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1356910913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207158",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207158",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 THE LEGENDS PKWY STE 151",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253803",
            "telephone_number": "636-938-7010",
            "fax_number": "636-938-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUART",
        "first_name": "LIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2021022457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZABETH",
            "last_name": "FENSTERMAKER",
            "middle_name": "MARQUART",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eureka, MO

Sources for this page

Verify at the official NPI Registry.