Organization Active NPI

Gateway Low Vision LLC

  • Low Vision Rehabilitation Optometrist
  • Creve Coeur, MO
National Provider Identifier
1538752811
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
GATEWAY LOW VISION LLC
Practice address
522 N New Ballas Rd Ste 120
Creve Coeur, MO 63141-6820
Phone
(833) 376-6445
Fax
(314) 312-6984
NPI assigned
Feb 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Mr. David Mogil
Title
Business Manager
Phone
(314) 328-9919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X Primary

Addresses

Primary practice location

522 N New Ballas Rd Ste 120
Creve Coeur, MO 63141-6820

Mailing address

8031 Gannon Ave
Saint Louis, MO 63130-3710
Phone (833) 376-6445

Other names 1

  • LOW VISION OF EASTERN MISSOURI, Llc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Gateway Low Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1538752811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 GANNON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303710",
            "telephone_number": "833-376-6445",
            "fax_number": "314-228-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 120",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416820",
            "telephone_number": "833-376-6445",
            "fax_number": "314-312-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY LOW VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "MOGIL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "314-328-9919",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOW VISION OF EASTERN MISSOURI, Llc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LOW VISION OF EASTERN MISSOURI, Llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.