Individual provider Active NPI

Alexander David McClure, OD

  • Optometrist
  • Washington, MO
National Provider Identifier
1477083772
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2017020281 Issued in MO
Practice address
851 E 5TH St Ste 112
Washington, MO 63090-3128
Phone
(636) 239-8345
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2017020281 MO Primary

Addresses

Primary practice location

851 E 5TH St Ste 112
Washington, MO 63090-3128

Mailing address

8407 Delmar Blvd Apt 2E
Saint Louis, MO 63124-2159
Phone (636) 667-0349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721000529 MO Practitioner - Optometry 0941570188 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Ophthalmology LLCGroup PAC ID 1951544428, 17 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 140a
Saint Louis, MO 63141-8254
Phone (314) 251-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017020281MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Dec 8, 2017 Accepting new patients
Mercy Health Services, LLC Optometrist CurrentSince Jul 14, 2017 Accepting new patients
Mercy Hospitals East Communities CurrentSince Dec 8, 2017 Accepting new patients
Mercy Health Services, LLC Optometrist Current Accepting new patients
Mercy Clinic Ophthalmology LLC CurrentSince Jul 31, 2017 Accepting new patients
Mercy Health Services, LLC Optometrist CurrentSince Jul 14, 2017 Accepting new patients

Locations

621 S New Ballas Rd
Ste 7A
Saint Louis, MO 63141
Phone (314) 251-6430

621 S New Ballas Rd
Ste 140A
Saint Louis, MO 63141
Phone (314) 251-5300

34 Hampton Village Plz
Saint Louis, MO 63109
Phone (314) 251-6430

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300

901 Patients First Dr
Ste 2600
Washington, MO 63090
Phone (636) 231-3651

851 E 5th St
Ste 112
Washington, MO 63090
Phone (636) 239-8345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477083772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 DELMAR BLVD APT 2E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242159",
            "telephone_number": "636-667-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 112",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903128",
            "telephone_number": "636-239-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "ALEXANDER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2017020281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.