NPIMap

Organization Active NPI

Kirkwood Eye Associates LLC

  • Optometrist
  • Kirkwood, MO
National Provider Identifier
1407252240
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2011018480 Issued in MO
Legal business name
KIRKWOOD EYE ASSOCIATES LLC
Practice address
200 S Kirkwood Rd Ste 130
Kirkwood, MO 63122-4335
Phone
(314) 394-3045
Fax
(314) 394-3049
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Dr. Andrew Joseph Biondo, O.D.NPI 1407143175
Title
Optometrist
Phone
(314) 605-7966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2011018480 MO Primary

Addresses

Primary practice location

200 S Kirkwood Rd Ste 130
Kirkwood, MO 63122-4335

Mailing address

200 S Kirkwood Rd Ste 130
Kirkwood, MO 63122-4335
Phone (314) 394-3045

Other practice location 1

1013 Plaza Ter
Kirkwood, MO 63122-2448
Phone (314) 605-7966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151214000218 MO Part B Supplier - Clinic/Group Practice 3779884986 Receives reassigned benefits from 3 practitioners
Practice locations: Kirkwood, MO
O20220729002755 MO DME Supplier - Physician - Optometrist 3779884986 Practice locations: Kirkwood, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kirkwood Eye Associates LLC200 S Kirkwood Rd, Kirkwood, MO 63122-4335(314) 394-3045 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Nov 1, 2015

National Provider Directory

National Provider Directory

Locations

200 S Kirkwood Rd
Ste 130
Saint Louis, MO 63122
Phone (314) 394-3045

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1407252240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S KIRKWOOD RD STE 130",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224335",
            "telephone_number": "314-394-3045",
            "fax_number": "314-394-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S KIRKWOOD RD STE 130",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224335",
            "telephone_number": "314-394-3045",
            "fax_number": "314-394-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Plaza Ter",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631222448",
            "country_code": "US",
            "telephone_number": "314-605-7966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIRKWOOD EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "BIONDO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "314-605-7966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2011018480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.