Individual provider Active NPI

Lauren Schwalb, O.D

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1629521570
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34557 Issued in CA
Practice address
1000 Des Peres Rd Ste 105
Saint Louis, MO 63131-2062
Phone
(314) 628-9100
Fax
(844) 235-0998
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1952 SC
Optometrist 152W00000X 34557 CA Primary

Addresses

Primary practice location

1000 Des Peres Rd Ste 105
Saint Louis, MO 63131-2062

Mailing address

1000 Des Peres Rd Ste 105
Saint Louis, MO 63131-2062
Phone (314) 628-9100

Other practice location 1

1470 Tobias Gadson Blvd
Suite 115
Charleston, SC 29407-4707
Phone (843) 556-2020

Other practice location 2

1871 Carl D Silver Pkwy Ste 1113
Fredericksburg, VA 22401-4969
Phone (540) 786-8081

Other practice location 3

56970 Yucca Trl Ste 101
Yucca Valley, CA 92284-7911
Phone (760) 228-2020

Other identifiers 1

IdentifierTypeStateIssuer
1952OtherSCSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180112000955 VA Practitioner - Optometry 8224397534 Reassigns benefits to 1 organization
I20230628003979 MO Practitioner - Optometry 8224397534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Davidson Optometry P.C.Group PAC ID 9234378613, 3 clinicians
Davidson Vision Therapy LLCGroup PAC ID 1557772936, 3 clinicians

Practice addresses (Care Compare)

1000 Des Peres Rd
Suite 105
Des Peres, MO 63131-2062
Phone (314) 628-9100

1000 Des Peres Rd
Suite 105
Des Peres, MO 63131-2064
Phone (314) 628-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34557CAMDPhysical Therapist
1952SCMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Davidson Vision Therapy LLC CurrentSince Jul 2, 2023 Accepting new patients
Premier Eyecare, Angela Tsai, O.D. and Associates, P.C. Optometrist CurrentSince Oct 15, 2017 Accepting new patients
Davidson Optometry PC Optometrist CurrentSince Jun 19, 2023 Accepting new patients
Draisin Vision Group PA Optometrist PastSince Aug 1, 2007 Accepting new patients

Locations

1000 Des Peres Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 628-9100

230 Butler Rd
Fredericksburg, VA 22405
Phone (540) 373-3021

2101 Carl D Silver Pkwy
Fredericksburg, VA 22401
Phone (540) 373-3021

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1629521570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312062",
            "telephone_number": "314-628-9100",
            "fax_number": "844-235-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312062",
            "telephone_number": "314-628-9100",
            "fax_number": "844-235-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1470 Tobias Gadson Blvd",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294074707",
            "country_code": "US",
            "telephone_number": "843-556-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1871 Carl D Silver Pkwy Ste 1113",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014969",
            "country_code": "US",
            "telephone_number": "540-786-8081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56970 Yucca Trl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922847911",
            "country_code": "US",
            "telephone_number": "760-228-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWALB",
        "first_name": "LAUREN",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1952",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1952",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.