Active NPI
Jennifer A Redfern, O.D.
- Optometrist
- Saint Peters, MO
National Provider Identifier
1366753238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2010020682
- Practice address
- 100 Piper Hill Dr
Suite D
Saint Peters, MO 63376-1616 - Phone
- (636) 928-3937
- Fax
- (636) 928-0661
- NPI assigned
- Jun 25, 2010
- 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 | 2010020682 | MO | Primary |
Addresses
Primary practice location
100 Piper Hill Dr
Suite D
Saint Peters, MO 63376-1616
Mailing address
100 Piper Hill Dr
Suite D
Saint Peters, MO 63376-1616
Phone (636) 928-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appelman Eye Associates, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1366753238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PIPER HILL DR",
"address_2": "SUITE D",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761616",
"telephone_number": "636-928-3937",
"fax_number": "636-928-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PIPER HILL DR",
"address_2": "SUITE D",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761616",
"telephone_number": "636-928-3937",
"fax_number": "636-928-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDFERN",
"first_name": "JENNIFER",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2010020682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.