Perez Burghart Vision, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PEREZ BURGHART VISION, LLC

Doing business as

Eyewearhaus

Practice address

745 N New Ballas Rd
Saint Louis, MO 63141-6715

Phone

(314) 567-7423

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Burghart, ODNPI 1932111929

Title

Sole Member

Phone

(314) 567-7423

Specialties & licenses 1

Addresses

Other names 1

• Eyewearhaus Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

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

• Michelle Perez Burghart, OD

  • Optometrist
  • Creve Coeur, MO
  • NPI 1932111929
  Medicare reassignment Care Compare group NPD Authorized official
• Christine Broeder, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1568450039
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1588239586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416715",
            "telephone_number": "314-567-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ BURGHART VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "BURGHART",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "314-567-7423",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyewearhaus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel F Perea, PLPC
• Marybeth Pereira, MD
• Miriam Ita Perel, PMHNP
• Eugenia Perepekhina-Belonog, FNP
• Jacob Perera, MD
• Maria Isabel Perez- Candal, MD
• Laura Perez-Arnold, MD
• Orlando A Perez-Franco, MD
• Marissa Rose Perez-Magnelli, PNP
• Rodrigo Perez-Magnelli, 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 May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.