Success Vision Eyecare of Maplewood LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUCCESS VISION EYECARE OF MAPLEWOOD LLC

Doing business as

Success Vision Eyecare of Maplewood

Practice address

2021 Maplewood Commons Dr
Saint Louis, MO 63143-1003

Phone

(918) 800-2020

Fax

(877) 464-4002

NPI assigned

Apr 14, 2023

Last updated

Apr 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard I PresleyNPI 1598823734

Title

Authorized Official / Owner

Phone

(918) 800-2020

Specialties & licenses 1

Addresses

Other names 1

• Success Vision Eyecare of Maplewood Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles E. Bruce, OD

  • Corneal and Contact Management Optometrist
  • Washington, MO
  • NPI 1609868140
  Medicare reassignment Care Compare group NPD
• Theodore K. Sullivan, O.D.

  • Optometrist
  • Saint Louis, MO
  • NPI 1437153772
  Medicare reassignment Care Compare group NPD
• Richard I Presley, OD

  • Optometrist
  • Tulsa, OK
  • NPI 1598823734

  MO

  Medicare reassignment NPD (past) Authorized official
• Mark Alan Wilkins, O.D.

  • Optometrist
  • Cottleville, MO
  • NPI 1538423769
  Medicare reassignment NPD
• Paige Blankenheim, OD

  • Optometrist
  • O'Fallon, MO
  • NPI 1386361319
  Medicare reassignment
• Andrew Scott Whitley, O.D.

  • Optometrist
  • Durant, OK
  • NPI 1588096432

  MO

  Medicare reassignment

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1497441265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 W 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741076110",
            "telephone_number": "918-800-2020",
            "fax_number": "877-464-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MAPLEWOOD COMMONS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631431003",
            "telephone_number": "918-800-2020",
            "fax_number": "877-464-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS VISION EYECARE OF MAPLEWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL / OWNER",
        "authorized_official_telephone_number": "918-800-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success Vision Eyecare of Maplewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suburban Foot Care LTD
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• Suburban Pediatrics Inc
• Suburban Surgical Associates, Inc.
• Success Vision Express of Maplewood, LLC (Success Vision Express of Maplewood)
• Successful Outcomes,LLC
• Lauren Sucher-O'Grady, M.D.
• Mark Gerard Sucher I, M.D.
• Kathleen Suda, RN-PLPC
• Kavya Sudanagunta, MD

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.