Optimized Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTIMIZED EYECARE, LLC

Practice address

317 Clarkson Rd
Ellisville, MO 63011-2271

Phone

(314) 374-6831

NPI assigned

Dec 17, 2019

Last updated

Dec 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Kelly, ODNPI 1942847918

Title

Owner

Phone

(314) 374-6831

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

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.

• Matthew Spencer Kelly, OD

  • Optometrist
  • Ellisville, MO
  • NPI 1942847918
  Medicare reassignment Care Compare group NPD Authorized official
• Stephen Vincent Cusumano, O.D.

  • Optometrist
  • O'Fallon, MO
  • NPI 1831192533
  Medicare reassignment Care Compare group NPD
• Thomas Joseph Cunningham, OD

  • Optometrist
  • Chesterfield, MO
  • NPI 1053427104
  NPD (past)
• Jordan Kelley Jones, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1417235185
  NPD (past)

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1366080632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15976 DOWNALL GREEN DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177320",
            "telephone_number": "314-374-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112271",
            "telephone_number": "314-374-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZED EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-374-6831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Center, Inc. (Southwestern Hearing Center)
• Dean Nothdurft
• Barbara Anne O'Brien, DO
• Austin C Oakes
• Open Doors Counseling
• Mary Elizabeth Orris, NP
• Lori Ann Orso
• Mark M Ortinau, D.D.S.
• Delia L Overschmidt, D.C.
• Sharon K Palas, MAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.

Verify at the official NPI Registry.