Individual provider Active NPI

David M. Picker, O.D.

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1679541452
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO2576 Issued in MO
Practice address
3718 S Kingshighway Blvd
Saint Louis, MO 63109-1800
Phone
(314) 446-1134
Fax
(314) 446-1136
NPI assigned
Mar 9, 2006
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TO2576 MO Primary

Addresses

Primary practice location

3718 S Kingshighway Blvd
Saint Louis, MO 63109-1800

Mailing address

10867 W Florissant Ave
Saint Louis, MO 63136-2405
Phone (314) 817-5367

Other identifiers 7

IdentifierTypeStateIssuer
197948OtherBLUE CROSS BLUE SHIELD MO
318498318MedicaidMO
2230948OtherUNITED HEALTHCARE
5311OtherMERCY HEALTH PLAN
188384OtherHEALTHLINK
56418OtherMOHEALTHCARE USA
MO2576OtherEYEMED

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050603000569 MO Practitioner - Optometry 9830132554 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TO2576MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Medical Mo LLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 10, 2024 Accepting new patients
Visionworks, Inc CurrentSince Feb 10, 2024 Accepting new patients
Metro North Eyecare David M. Picker, O.D., P.C. Optometrist PastSince Jul 11, 2005 Accepting new patients
Nucrown, LLC Optometrist Past Accepting new patients
Nucrown,Inc. Optometrist Past Accepting new patients
Nu-Crown, LLC Optometrist Past Accepting new patients
Paige Hedgpath Odpc Optometrist Past Accepting new patients
Paige Hedgpath OD,PC Optometrist Past Accepting new patients

Locations

307 E South St
Harrisonville, MO 64701
Phone (816) 380-7398

101 N Range Line Rd
Spc 346
Joplin, MO 64801
Phone (417) 623-8620

2825 S Glenstone Ave
Ste F11
Springfield, MO 65804
Phone (417) 882-3692

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1679541452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10867 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631362405",
            "telephone_number": "314-817-5367",
            "fax_number": "314-522-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091800",
            "telephone_number": "314-446-1134",
            "fax_number": "314-446-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKER",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MO",
            "identifier": "197948",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318498318",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2230948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLAN",
            "identifier": "5311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "188384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "56418",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MO2576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.