Active NPI
Chris Robert Ullrich, DO
- Ophthalmology Physician
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2000158832
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245411418 | Medicaid | MO |
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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 231 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000158832 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nucrown,Inc. | Current | Accepting new patients | |
| Nu-Crown, LLC | Current | 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.
-
- Ophthalmology Physician
- Washington, MO
- NPI 1992725709
-
- Optometrist
- St. Charles, MO
- NPI 1114337102
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.