NPIMap

Organization Active NPI

Ophthalmology Consultants, LLC

  • Ophthalmology Physician
  • Des Peres, MO
National Provider Identifier
1508899543
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMOLOGY CONSULTANTS, LLC
Practice address
12990 Manchester Rd Ste 201
Des Peres, MO 63131-1860
Phone
(314) 909-0633
Fax
(314) 569-0864
NPI assigned
Jul 9, 2006
Last updated
Nov 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Joseph P GiraNPI 1861481152
Title
Owner
Phone
(314) 432-5478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

12990 Manchester Rd Ste 201
Des Peres, MO 63131-1860

Mailing address

12990 Manchester Rd Ste 201
Des Peres, MO 63131-1860
Phone (314) 909-0633

Other practice location 1

12692 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128-2746
Phone (314) 432-5478

Other practice location 2

3513 Harry S Truman Blvd
Saint Charles, MO 63301-4077
Phone (636) 688-7500

Other practice location 3

12990 Manchester Rd Ste 200
Des Peres, MO 63131-1860
Phone (314) 966-5000

Other practice location 4

7331 Watson Rd
Saint Louis, MO 63119-4405
Phone (314) 633-8575

Other practice location 5

1224 Graham Rd Ste 2007
Florissant, MO 63031-8026
Phone (314) 837-3667

Other practice location 6

965 Mattox Dr
Sullivan, MO 63080-2365
Phone (314) 966-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040505001055 MO Part B Supplier - Clinic/Group Practice 6800884008 Receives reassigned benefits from 24 practitioners
2 other NPIs on this enrollment
Practice locations: O Fallon, MO; Washington, MO; Union, MO; Troy, MO; Sullivan, MO; Saint Louis, MO; Saint Charles, MO; Lake St Louis, MO…
O20041122000247 IL Part B Supplier - Clinic/Group Practice 6800884008 Receives reassigned benefits from 2 practitioners
Practice locations: Edwardsville, IL; Shiloh, IL; Quincy, IL; Pittsfield, IL; Jacksonville, IL; Fairview Heights, IL; Effingham, IL; Columbia, IL…

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1420 S Business 61
Ste F
Bowling Green, MO 63334
Phone (573) 324-3131

100 Brevco Plz
Ste 108
Lake St Louis, MO 63367
Phone (314) 567-7771

1066 Executive Parkway Dr
Ste 200
Saint Louis, MO 63141
Phone (314) 394-3201

12692 Lamplighter Square Shpg Ctr
#5006B
Saint Louis, MO 63128

83 Troy SQ
Troy, MO 63379

16 Chamber Dr
Washington, MO 63090
Phone (636) 239-9122

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1508899543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD STE 201",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311860",
            "telephone_number": "314-909-0633",
            "fax_number": "314-909-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD STE 201",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311860",
            "telephone_number": "314-909-0633",
            "fax_number": "314-569-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12692 Lamplighter Square Shpg Ctr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282746",
            "country_code": "US",
            "telephone_number": "314-432-5478",
            "fax_number": "314-569-0864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3513 Harry S Truman Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633014077",
            "country_code": "US",
            "telephone_number": "636-688-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12990 Manchester Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Des Peres",
            "state": "MO",
            "postal_code": "631311860",
            "country_code": "US",
            "telephone_number": "314-966-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7331 Watson Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631194405",
            "country_code": "US",
            "telephone_number": "314-633-8575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 Graham Rd Ste 2007",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630318026",
            "country_code": "US",
            "telephone_number": "314-837-3667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "965 Mattox Dr",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "MO",
            "postal_code": "630802365",
            "country_code": "US",
            "telephone_number": "314-966-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPHTHALMOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-432-5478"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Peres, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.