Organization Active NPI

St Johns Mercy Health Services LLC

Doing business as St. Johns Mercy Eye Care

  • Eyewear Supplier
  • Saint Louis, MO
National Provider Identifier
1467597195
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
ST JOHNS MERCY HEALTH SERVICES LLC
Doing business as
St. Johns Mercy Eye Care
Practice address
10004 Kennerly Rd
Suite 125
Saint Louis, MO 63128-2141
Phone
(314) 525-4440
NPI assigned
Feb 20, 2007
Last updated
Oct 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
John Hermann
Title
Vice President
Phone
(314) 364-3380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

10004 Kennerly Rd
Suite 125
Saint Louis, MO 63128-2141

Mailing address

10004 Kennerly Rd
Suite 125
Saint Louis, MO 63128-2141
Phone (314) 525-4440

Other names 1

  • ST. JOHNS MERCY EYE CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10004 Kennerly Rd
Ste 125
Saint Louis, MO 63128
Phone (314) 525-4440

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1467597195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "SUITE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-525-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "SUITE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-525-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS MERCY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-364-3380"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. JOHNS MERCY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.