NPIMap

Organization Active NPI

Curators of the University of Missouri

Doing business as Center for Eye Care

  • Optometrist
  • East St Louis, IL
National Provider Identifier
1417049610
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CURATORS OF THE UNIVERSITY OF MISSOURI
Doing business as
Center for Eye Care
East St. Louis Eye Clinic
Practice address
601 James R. Thompson Blvd
Building D, Ste 2030
East St. Louis, IL 62201-1129
Phone
(618) 482-8355
Fax
(618) 482-8360
NPI assigned
Sep 28, 2006
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CURATORS OF THE UNIVERSITY OF MISSOURIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Dr. Vinita A Henry, ODNPI 1699881326
Title
Director of Clinical Operations
Phone
(314) 516-6532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

601 James R. Thompson Blvd
Building D, Ste 2030
East St. Louis, IL 62201-1129

Mailing address

1 University Blvd
Patient Care Center
Saint Louis, MO 63121-4400
Phone (314) 516-5131

Other names 2

  • CENTER FOR EYE CARE Doing business as
  • East St. Louis Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504000481 IL Part B Supplier - Clinic/Group Practice 6800704560 Receives reassigned benefits from 7 practitioners
Practice locations: East St Louis, IL

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
University Physicians K51 organizations share this tax ID, including this one
Part of
University Physicians K

Member organizations 13

Organizations listed as members of this organization in the National Provider Directory.

View all 13

Locations

1 University Blvd
Saint Louis, MO 63121
Phone (314) 516-5131

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rusk Rehabilitation Hospital, an Affiliation of Encompass Health and MColumbia, MO, CCN 263027 Hospital 5% Or Greater Direct Ownership Interest (25%) Feb 10, 1995
University of Missouri Health CareColumbia, MO, CCN 260141 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
University of Missouri Health Care - Missouri Psychiatric CenterColumbia, MO, CCN 26S141 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2007
Capital Region Medical Center - RehabilitationJefferson City, MO, CCN 26T141 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1417049610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "address_2": "PATIENT CARE CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214400",
            "telephone_number": "314-516-5131",
            "fax_number": "314-516-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JAMES R. THOMPSON BLVD",
            "address_2": "BUILDING D, STE 2030",
            "city": "EAST ST. LOUIS",
            "state": "IL",
            "postal_code": "622011129",
            "telephone_number": "618-482-8355",
            "fax_number": "618-482-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURATORS OF THE UNIVERSITY OF MISSOURI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CURATORS OF THE UNIVERSITY OF MISSOURI",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "VINITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "314-516-6532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East St. Louis Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East St. Louis Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East St Louis, IL

Sources for this page

Verify at the official NPI Registry.