Susan Cerneka Dreyer, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

T02909 Issued in MO

Practice address

12536 Olive Boulevard
Suite B
Creve Coeur, MO 63146

Phone

(314) 878-1377

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pec South County LLC

  dba Performance Eyecare

  • Corneal and Contact Management Optometrist
  • Saint Louis, MO
  • NPI 1295371946
  Medicare reassignment NPD
• Pec St Peters LLC

  dba Performance Eyecare

  • Optometrist
  • Saint Peters, MO
  • NPI 1669988242
  Medicare reassignment NPD
• Pec Warson, LLC

  dba Performance Eyecare

  • Optometrist
  • Saint Louis, MO
  • NPI 1063058386
  Medicare reassignment NPD
• Massie Optometry PC

  dba Performance Eyecare

  • Optometrist
  • Saint Louis, MO
  • NPI 1255675740
  Medicare reassignment
• Pellegrine Inc/Dba Pearle Vision

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1356523252
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386776714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 S GORE AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193603",
            "telephone_number": "314-962-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12536 OLIVE BOULEVARD",
            "address_2": "SUITE B",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-878-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYER",
        "first_name": "SUSAN",
        "middle_name": "CERNEKA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "T02909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Joseph Dowdy, OD
• Nicole Downen
• Erin Rae Doyle, OT
• Dr. Brandon Kratz DDS LLC (Creve Coeur Family and Sedation Dentistry)
• Ellen M Dresbach, OTR/L
• Angeline Duane, LCSW
• Robert Kelso Duddy, DPM
• Danielle Leigh Duis, MSCCCSLP
• Julia Dunavant, SLP
• Timothy P Dunn, M.D.

• Low Vision Rehabilitation Optometrist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Low Vision Rehabilitation Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.