Success Vision Express of Maplewood, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUCCESS VISION EXPRESS OF MAPLEWOOD, LLC

Doing business as

Success Vision Express of Maplewood

Practice address

2021 Maplewood Commons Dr
Saint Louis, MO 63143-1003

Phone

(314) 860-2020

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Richard Presley

Title

Owner

Phone

(918) 800-2020

Specialties & licenses 1

Addresses

Other names 1

• Success Vision Express of Maplewood Doing business as

Locations

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1629771407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 W 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741076110",
            "telephone_number": "918-800-2020",
            "fax_number": "877-464-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MAPLEWOOD COMMONS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631431003",
            "telephone_number": "314-860-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS VISION EXPRESS OF MAPLEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-800-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success Vision Express of Maplewood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Success Vision Express of Maplewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Successful Outcomes,LLC
• Lauren Sucher-O'Grady, M.D.
• Mark Gerard Sucher I, M.D.
• Kathleen Suda, RN-PLPC

• 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 Apr 17, 2023; 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.