Active NPI
Gateway Low Vision LLC
- Low Vision Rehabilitation Optometrist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- Legal business name
- GATEWAY LOW VISION LLC
- Practice address
- 522 N New Ballas Rd Ste 120
Saint Louis, MO 63141-6820 - Phone
- (314) 517-5893
- Fax
- (314) 312-6984
- NPI assigned
- Mar 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jill M Mogil, OD
- Title
- Clinical Director
- Phone
- (314) 328-9919
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | Primary |
Addresses
Primary practice location
522 N New Ballas Rd Ste 120
Saint Louis, MO 63141-6820
Mailing address
522 N New Ballas Rd Ste 120
Saint Louis, MO 63141-6820
Phone (314) 328-9919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Gateway Low Vision
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Low Vision Rehabilitation Optometrist
- Creve Coeur, MO
- NPI 1538752811
Locations
522 N New Ballas Rd
Ste 120
Saint Louis, MO 63141
Phone (314) 517-5893
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Low Vision Rehabilitation Optometrist
- Saint Louis, MO
- NPI 1285953844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681862400000",
"number": "1366037244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 N NEW BALLAS RD STE 120",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416820",
"telephone_number": "314-328-9919",
"fax_number": "314-228-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 N NEW BALLAS RD STE 120",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416820",
"telephone_number": "314-517-5893",
"fax_number": "314-312-6984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY LOW VISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-03",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A",
"authorized_official_last_name": "MOGIL",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "314-328-9919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": null,
"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 Apr 19, 2023; 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.