Active NPI
Cathy Lynn Edwards, O.D.
- Optometrist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02908
- Practice address
- 621 S New Ballas Rd Ste 140a
Saint Louis, MO 63141-8254 - Phone
- (314) 251-6430
- NPI assigned
- Jan 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02908 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd Ste 140a
Saint Louis, MO 63141-8254
Mailing address
621 S New Ballas Rd Ste 140a
Saint Louis, MO 63141-8254
Phone (314) 251-6430
Other practice location 1
851 E 5th St Ste 112
Washington, MO 63090-3128
Phone (636) 239-8345
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paige Hedgpath OD,PC | Optometrist | Current | Accepting new patients |
| Dang Eyecare & Associates, P.a. | Optometrist | Current | Accepting new patients |
| Paige Hedgpath Odpc | Optometrist | Current | Accepting new patients |
| Susan J. Devine OD, LLC | Optometrist | Past | Accepting new patients |
Locations
745 E Joyce Blvd
Ste 124
Fayetteville, AR 72703
Phone (479) 582-1366
4189 Phoenix Ave
Ste B
Fort Smith, AR 72903
Phone (479) 434-4668
1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331
138 S Main St
Gravois Mills, MO 65037
Phone (573) 280-2884
323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313
4645 Osage Beach Pkwy
Ste G
Osage Beach, MO 65065
Phone (573) 635-1313
6756 Chippewa St
Saint Louis, MO 63109
Phone (314) 351-4991
Organizations & group practices 4
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.
-
- Optometrist
- Jefferson City, MO
- NPI 1962644732
-
- Optometrist
- Columbia, MO
- NPI 1669530887
-
- Optometrist
- Fort Smith, AR
- NPI 1801038195
-
- Optometrist
- East Windsor, CT
- NPI 1376681510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1366627697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 140A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418254",
"telephone_number": "314-251-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 140A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418254",
"telephone_number": "314-251-6430"
}
],
"practiceLocations": [
{
"address_1": "851 E 5th St Ste 112",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630903128",
"country_code": "US",
"telephone_number": "636-239-8345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "CATHY",
"middle_name": "LYNN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-06",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02908",
"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 Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.