Eric Jerde, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2012018551 Issued in MO

Practice address

10275 Watson Rd
Saint Louis, MO 63127

Phone

(314) 962-9334

NPI assigned

Jul 13, 2012

Last updated

Jul 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ejerde354156@directb.mercy.net

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.

• Innovative Eye Care Specialists, LLC

  dba Jerde Eye Specialists

  • Optometrist
  • Saint Louis, MO
  • NPI 1821597592
  Medicare reassignment NPD Authorized official
• Mercy Clinic Ophthalmology LLC

  • Ophthalmology Physician
  • Washington, MO
  • NPI 1003179656
  Medicare reassignment NPD
• Mercy Health Services, LLC

  dba Mercy Eye Care

  • Eyewear Supplier
  • Saint Louis, MO
  • NPI 1730224478

  Optometrist

  Medicare reassignment NPD
• Mercy Health Services, LLC

  dba Mercy Eye Care

  • Eyewear Supplier
  • Washington, MO
  • NPI 1164567897

  Optometrist

  NPD
• Mercy Health, Services, LLC

  dba Mercy Corporate Health

  • Corporate Health Clinic/Center
  • Creve Coeur, MO
  • NPI 1689714743
  NPD (past)

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1609121839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10275 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271103",
            "telephone_number": "314-962-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10275 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-962-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERDE",
        "first_name": "ERIC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012018551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P01235247",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193954722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431560263",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609121839",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvin Jeon, MD
• Michelle Jeon, PHARM.D.
• Jonah Daniel Jerabek, DO
• Maya Ratna Jerath, MD
• Abigail Lee Jerauld, APRN-CNP
• Jeremy Shuman, LLC
• Kelly Jerger
• Rachel Jermak
• Jermik Systems, LTD (Kursar Eyecare, Ltd.)
• Kara A Jersan, MSPT

• 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 Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.