Daniel David Cerutti, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2672 Issued in MO

Practice address

9973 Manchester Rd
Saint Louis, MO 63122-1915

Phone

(314) 961-3151

Fax

(314) 961-1735

NPI assigned

Oct 11, 2006

Last updated

Jul 9, 2007By 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

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, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pec South County LLCGroup PAC ID 3971938796, 2 clinicians

Pec Warson, LLCGroup PAC ID 5496180515, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pec South County LLC

  dba Performance Eyecare

  • Corneal and Contact Management Optometrist
  • Saint Louis, MO
  • NPI 1295371946
  Medicare reassignment Care Compare group NPD
• Pec Warson, LLC

  dba Performance Eyecare

  • Optometrist
  • Saint Louis, MO
  • NPI 1063058386
  Medicare reassignment Care Compare group NPD
• Almark, Inc.

  dba Warson Optics

  • Optometrist
  • Saint Louis, MO
  • NPI 1457566747
  Authorized official Same address or phone

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649368713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10336 TOPAZ SPRING DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236270",
            "telephone_number": "314-638-4123",
            "fax_number": "314-961-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9973 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221915",
            "telephone_number": "314-961-3151",
            "fax_number": "314-961-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERUTTI",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cep America, LLC (Vituity)
• Oscar Andres Cepeda, MD
• Erin Cerio, LPC
• Roger G. Cerny, CRNA
• Peter Mikel Cero, NP
• Morgan Cervera, DPT
• Feyza Cetin, MD
• Hasan Cetin, MD
• Chloe Cevan, CGC
• Enes Cevik, MD

• 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 9, 2007; 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.