St. Louis Eye Clinic

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

Legal business name

ST. LOUIS EYE CLINIC

Practice address

12818 Tesson Ferry Rd Ste 102&104
Saint Louis, MO 63128-2613

Phone

(314) 352-9800

Fax

(314) 352-4290

NPI assigned

Feb 28, 2007

Last updated

Jun 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Deborah Kutz

Title

Credentialing & Billing Specialist

Phone

(314) 352-9800

Specialties & licenses 1

Addresses

Locations

Practitioners 8

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.

• Levent Akduman, MD

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1245344605
  NPD
• Sanjeev M Lele, M.D.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1083727366
  NPD
• Robert Joseph Olk, MD

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1265429245
  NPD
• Dundoo Raghunandan, M.D.

  • Ophthalmology Physician
  • Bridgeton, MO
  • NPI 1508979998
  NPD
• William Lesing Becker, M.D.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1346386372
  NPD (past)
• Janet L Collier, O.D.

  • Optometrist
  • Kirkwood, MO
  • NPI 1982606695
  NPD (past)
• Ashley Elizabeth Davis, FNP-C

  • Family Nurse Practitioner
  • Festus, MO
  • NPI 1558710699
  NPD (past)
• Shawn Kenneth Stutes, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington, MO
  • NPI 1316410046
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1629105259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12818 TESSON FERRY RD STE 102&104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282613",
            "telephone_number": "314-352-9800",
            "fax_number": "314-352-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 TESSON FERRY RD STE 102&104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282613",
            "telephone_number": "314-352-9800",
            "fax_number": "314-352-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "KUTZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "CREDENTIALING & BILLING SPECIALIST",
        "authorized_official_telephone_number": "314-352-9800"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Glaucoma Specialist (Ophthalmology) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Glaucoma Specialist (Ophthalmology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.