Individual provider Active NPI

Eisha Kaur Multani, OD

  • Optometrist
  • Overland, MO
National Provider Identifier
1366948234
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2022045656 Issued in MO
Practice address
9082 Overland PLZ
Overland, MO 63114-6122
Phone
(314) 227-1132
Fax
(314) 227-1133
NPI assigned
Apr 1, 2018
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP1000415 DC
Optometrist 152W00000X 2022045656 MO Primary

Addresses

Primary practice location

9082 Overland PLZ
Overland, MO 63114-6122

Mailing address

PO Box 207158
Dallas, TX 75320-7158
Phone (636) 200-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190206001706 CA Practitioner - Optometry 7315285921 Reassigns benefits to 1 organization
I20241010001744 MO Practitioner - Optometry 7315285921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000415DCMDOptometrist
34149CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry, Inc Optometrist CurrentSince Oct 3, 2024 Accepting new patients
Linden Optometry a Professional Corporation Optometrist CurrentSince Nov 26, 2018 Accepting new patients
Clarkson Optometry Inc Optometrist CurrentSince Oct 3, 2024 Accepting new patients
Clarkson Optometry Inc Optometrist Past Accepting new patients

Locations

477 E Colorado Blvd
Pasadena, CA 91101
Phone (626) 796-1191

9082 Overland Plz
Overland, MO 63114
Phone (314) 227-1132

100 S Jackson St
Perryville, MO 63775
Phone (573) 334-5265

3122 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 450-7313

7 N Euclid Ave
Saint Louis, MO 63108
Phone (314) 884-2382

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, 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": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1366948234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207158",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207158",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9082 OVERLAND PLZ",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631146122",
            "telephone_number": "314-227-1132",
            "fax_number": "314-227-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULTANI",
        "first_name": "EISHA",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-01",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000415",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2022045656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland, MO

Sources for this page

Verify at the official NPI Registry.