Active NPI
Comprehensive Eye Care and Surgery Inc.
- Ophthalmology Physician
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2004001643
- Legal business name
- COMPREHENSIVE EYE CARE AND SURGERY INC.
- Practice address
- 12255 De Paul Dr Ste 360
Bridgeton, MO 63044-2513 - Phone
- (314) 739-9293
- Fax
- (314) 739-3968
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theresa Ellen Jones, M.D.
- Title
- President
- Phone
- (314) 739-9293
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2004001643 | MO | Primary |
Addresses
Primary practice location
12255 De Paul Dr Ste 360
Bridgeton, MO 63044-2513
Mailing address
12255 De Paul Dr Ste 360
Bridgeton, MO 63044-2513
Phone (314) 739-9293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12255 De Paul Dr
Ste 360
Bridgeton, MO 63044
Phone (314) 739-9293
12255 De Paul Dr
Ste 250
Bridgeton, MO 63044
Phone (314) 344-7770
300 Medical Plz
Ste 140B
Lake St Louis, MO 63367
Phone (314) 739-9293
5301 Veterans Memorial Pkwy
Ste 102
Saint Peters, MO 63376
Phone (636) 441-9293
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bridgeton, MO
- NPI 1053428771
-
- Optometrist
- Bridgeton, MO
- NPI 1407054943
-
- Psychiatry Physician
- Bridgeton, MO
- NPI 1578562310
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Louis, MO
- NPI 1326462714
-
- Optometrist
- University City, MO
- NPI 1942408869
-
- Psychiatry Physician
- Bridgeton, MO
- NPI 1689673451
-
- Psychiatry Physician
- Bridgeton, MO
- NPI 1821097692
-
- Maternal & Fetal Medicine Physician
- Lexington, KY
- NPI 1700124427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409270400000",
"number": "1417065129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12255 DE PAUL DR STE 360",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442513",
"telephone_number": "314-739-9293",
"fax_number": "314-739-3968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DE PAUL DR STE 360",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442513",
"telephone_number": "314-739-9293",
"fax_number": "314-739-3968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE EYE CARE AND SURGERY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2014-08-29",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-739-9293",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MO",
"license": "2004001643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.