Individual provider Active NPI

Karen A Plishka, O.D.

  • Optometrist
  • Chesterfield, MO
National Provider Identifier
1487718227
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02434 Issued in MO
Practice address
285 Chesterfield Mall
Chesterfield, MO 63017-4810
Phone
(636) 537-0402
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02434 MO Primary

Addresses

Primary practice location

285 Chesterfield Mall
Chesterfield, MO 63017-4810

Mailing address

12 Sunnybrae CT
Ballwin, MO 63011-2734
Phone (636) 394-5840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1487718227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SUNNYBRAE CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112734",
            "telephone_number": "636-394-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 CHESTERFIELD MALL",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174810",
            "telephone_number": "636-537-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISHKA",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.