Individual provider Active NPI

Bliss Elizabeth O'Bryhim, MD

  • Retina Specialist (Ophthalmology) Physician
  • Saint Louis, MO
National Provider Identifier
1427439298
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
2019011448 Issued in MO
Practice address
517 S Euclid Ave
Saint Louis, MO 63110-1007
Phone
(314) 362-3431
Fax
(314) 362-6564
NPI assigned
Jun 17, 2015
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 2019011448 MO Primary

Addresses

Primary practice location

517 S Euclid Ave
Saint Louis, MO 63110-1007

Mailing address

660 S Euclid Ave
CB 8096
Saint Louis, MO 63110-1010
Phone (314) 747-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NE, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190626003909 MO Practitioner - Ophthalmology 7214230556 Reassigns benefits to 1 organization
I20210621001085 NE Practitioner - Ophthalmology 7214230556 Reassigns benefits to 2 organizations
I20210621001934 IA Practitioner - Ophthalmology 7214230556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians
Midwest Eye Care PCGroup PAC ID 8628960572, 24 clinicians

Practice addresses (Care Compare)

10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570

13500 California St
Omaha, NE 68154-5248
Phone (402) 552-2020

715 Harmony St
Suite 300
Council Bluffs, IA 51503-3147
Phone (402) 552-2020

808 E Pierce St
Methodist Physicians Clinic
Council Bluffs, IA 51503-4652
Phone (712) 396-4360

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019011448MOMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 1, 2019 Accepting new patients
Midwest Eye Care PC CurrentSince Jul 1, 2021 Accepting new patients
Midwest Eye Care, PC Retina Specialist CurrentSince Jul 1, 2021 Accepting new patients
Physicians Clinic Inc CurrentSince Sep 1, 2022 Accepting new patients
Washington University CurrentSince Jul 1, 2019 Accepting new patients
Midwest Eye Care, PC Past Accepting new patients

Locations

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801

1001 Risen Son Blvd
Council Bluffs, IA 51503
Phone (712) 256-8600

715 Harmony St
Ste 300
Council Bluffs, IA 51503
Phone (712) 388-2600

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

808 E Pierce St
Council Bluffs, IA 51503
Phone (712) 396-4340

320 Ebaugh St
Glenwood, IA 51534
Phone (712) 527-3125

517 S Euclid Ave
Saint Louis, MO 63110
Phone (314) 362-3431

5615 Pershing Ave
Ste 27
Saint Louis, MO 63112
Phone (314) 367-7077

660 S Euclid Ave
Saint Louis, MO 63110

660 S Euclid Ave
#8096
Saint Louis, MO 63110
Phone (314) 362-3935

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

13500 California St
Omaha, NE 68154

4353 Dodge St
Omaha, NE 68131
Phone (402) 502-5599

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1427439298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8096",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-747-5380",
            "fax_number": "314-747-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101007",
            "telephone_number": "314-362-3431",
            "fax_number": "314-362-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRYHIM",
        "first_name": "BLISS",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2019011448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.