Individual provider Active NPI

Robert Christian Brusatti, O.D.

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1568460723
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03150 Issued in MO
Practice address
12990 Manchester Rd
Suite 200
Saint Louis, MO 63131-1860
Phone
(314) 966-5000
Fax
(314) 909-6666
NPI assigned
Jul 12, 2005
Last updated
Mar 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03150 MO Primary

Addresses

Primary practice location

12990 Manchester Rd
Suite 200
Saint Louis, MO 63131-1860

Mailing address

12990 Manchester Rd
Suite 200
Saint Louis, MO 63131-1860
Phone (314) 966-5000

Other identifiers 1

IdentifierTypeStateIssuer
MA1293001OtherMOPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000514 MO Practitioner - Optometry 6709944796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Consultants LLCGroup PAC ID 6800884008, 22 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
79.58 of 100Reported as group
Quality
80.09
Promoting interoperability
88
Improvement activities
40
Cost
61.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T03150MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Consultants, LLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Ophthalmology Consultants, LLC CurrentSince Jan 1, 2021 Accepting new patients
O'Donnell Eye Institute, Inc. Optometrist Past Accepting new patients

Locations

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

12990 Manchester Rd
Ste 20
Saint Louis, MO 63131
Phone (314) 966-5000

12990 Manchester Rd
Ste 200
Saint Louis, MO 63131
Phone (314) 966-5000

12990 Manchester Rd
Ste 201
Saint Louis, MO 63131
Phone (314) 909-0633

621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300

965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054

Interoperability endpoints

  • Direct secure messaging: brusatti.brusatti.p1@direct.ocltd.nextgenshare.com
  • Direct secure messaging: rob.brusatti@oaassc.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1568460723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311860",
            "telephone_number": "314-966-5000",
            "fax_number": "314-909-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311860",
            "telephone_number": "314-966-5000",
            "fax_number": "314-909-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSATTI",
        "first_name": "ROBERT",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MA1293001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.