Individual provider Active NPI

Chris Robert Ullrich, DO

  • Ophthalmology Physician
  • Washington, MO
National Provider Identifier
1679544688
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2000158832 Issued in MO
Practice address
1351 Jefferson St
Ste 110
Washington, MO 63090-6449
Phone
(636) 239-1650
Fax
(636) 239-9005
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2000158832 MO Primary

Addresses

Primary practice location

1351 Jefferson St
Ste 110
Washington, MO 63090-6449

Mailing address

12990 Manchester Rd
Ste 201
Des Peres, MO 63131-1860
Phone (636) 239-1650

Other identifiers 1

IdentifierTypeStateIssuer
245411418MedicaidMO

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000015 MO Practitioner - Ophthalmology 4082679865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Sight Center, Inc.Group PAC ID 7113983404, 3 clinicians

Practice addresses (Care Compare)

1351 Jefferson St
Washington, MO 63090-6449
Phone (636) 239-1650

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery231
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2000158832MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nucrown,Inc. CurrentSince Jan 1, 2007 Accepting new patients
Nu-Crown, LLC CurrentSince Jan 1, 2007 Accepting new patients

Locations

10465 Saint Charles Rock Rd
Saint Ann, MO 63074
Phone (314) 423-2010

4145 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 533-1898

12601 Olive Blvd
Saint Louis, MO 63141
Phone (314) 878-2222

1351 Jefferson St
Ste 110
Washington, MO 63090
Phone (636) 239-1650

Organizations & group practices 3

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679544688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD",
            "address_2": "STE 201",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311860",
            "telephone_number": "636-239-1650",
            "fax_number": "636-239-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 JEFFERSON ST",
            "address_2": "STE 110",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906449",
            "telephone_number": "636-239-1650",
            "fax_number": "636-239-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLRICH",
        "first_name": "CHRIS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2026-07-13",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2000158832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245411418",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.