Organization Active NPI

St. Louis Eye Clinic

  • Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1366555690
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ST. LOUIS EYE CLINIC
Practice address
12818 Tesson Ferry Rd Ste 102&104
Saint Louis, MO 63128-2613
Phone
(314) 352-9800
Fax
(314) 352-4290
NPI assigned
Aug 17, 2006
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
S Lele, M.D.
Title
President
Phone
(314) 352-9800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Optician 156FX1800X NU
Ophthalmology Physician 207W00000X NU

Addresses

Primary practice location

12818 Tesson Ferry Rd Ste 102&104
Saint Louis, MO 63128-2613

Mailing address

12818 Tesson Ferry Rd Ste 102&104
Saint Louis, MO 63128-2613
Phone (314) 352-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090410000014 MO Part B Supplier - Clinic/Group Practice 2961559844 Receives reassigned benefits from 4 practitioners
Practice locations: Bridgeton, MO; Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

12818 Tesson Ferry Rd
Ste 102104
Saint Louis, MO 63128
Phone (314) 352-9800

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1366555690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12818 TESSON FERRY RD STE 102&104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282613",
            "telephone_number": "314-352-9800",
            "fax_number": "314-352-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 TESSON FERRY RD STE 102&104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282613",
            "telephone_number": "314-352-9800",
            "fax_number": "314-352-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "LELE",
        "authorized_official_first_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-352-9800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 10, 2025; 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.