NPIMap

Organization Active NPI

Star Optometry Associates LLC

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1639409584
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO2896 Issued in MO
Legal business name
STAR OPTOMETRY ASSOCIATES LLC
Practice address
8420 Delmar Blvd
Suite 301-B
Saint Louis, MO 63124-2170
Phone
(314) 994-0110
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Dr. Mark Veenhuis, OD
Title
Ceo
Phone
(314) 994-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TO2896 MO Primary

Addresses

Primary practice location

8420 Delmar Blvd
Suite 301-B
Saint Louis, MO 63124-2170

Mailing address

8420 Delmar Blvd
Suite 301-B
Saint Louis, MO 63124-2170
Phone (314) 994-0110

Other names 1

  • Star Eye Care Delmar Other name

National Provider Directory

National Provider Directory

Locations

9378 Olive Blvd
Ste 105
Olivette, MO 63132
Phone (314) 994-0110

8420 Delmar Blvd
Ste 301B
Saint Louis, MO 63124
Phone (314) 994-0110

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1639409584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 DELMAR BLVD",
            "address_2": "SUITE 301-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242170",
            "telephone_number": "314-994-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 DELMAR BLVD",
            "address_2": "SUITE 301-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242170",
            "telephone_number": "314-994-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR OPTOMETRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "VEENHUIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-994-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Eye Care Delmar",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.