Nina Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NINA CORPORATION

Doing business as

Eye Center oF Missouri

Practice address

3535 S Jefferson Ave Ste S4
Saint Louis, MO 63118-3900

Phone

(314) 771-3000

Fax

(314) 771-4094

NPI assigned

Sep 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shamlal Tekwani, MD

Title

President

Phone

(314) 771-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eye Center oF Missouri Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry Anne Young, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1144381690
  Medicare reassignment

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487751913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE STE S4",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183900",
            "telephone_number": "314-771-3000",
            "fax_number": "314-771-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE STE S4",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183900",
            "telephone_number": "314-771-3000",
            "fax_number": "314-771-4094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8044 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631442818",
            "country_code": "US",
            "telephone_number": "314-647-4494",
            "fax_number": "314-781-9993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NINA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TEKWANI",
        "authorized_official_first_name": "SHAMLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-771-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDC",
            "identifier": "DE0954",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500479407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center oF Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Mark Nikodem, DDS
• Jamie Louise Nilson, RD
• Pascal Nilsson, MD
• Praveen Srisatya Nimmagadda, MD
• Shalaka Nimmagadda, MD
• Richa Niraula, M.D.
• Nirvana Healthcare Plus LLC
• Omar Nisar, MD
• Ronald Glennon Nisbet Jr., D.C.
• Pallavi Mishra Nishith, PH.D, LP

• Ophthalmology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.