NPIMap

Organization Active NPI

Merlenbach Optometry, P.C.

Doing business as Merlenbach Eyecare

  • Corneal and Contact Management Optometrist
  • Maplewood, MO
National Provider Identifier
1689880767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2000169300 Issued in MO
Legal business name
MERLENBACH OPTOMETRY, P.C.
Doing business as
Merlenbach Eyecare
Practice address
1900 Maplewood Commons Dr
Maplewood, MO 63143-1005
Phone
(314) 781-1734
Fax
(314) 781-0056
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Matthew Merlenbach Sr., O.D.NPI 1578506796
Title
President
Phone
(314) 781-1734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2000169300 MO Primary

Addresses

Primary practice location

1900 Maplewood Commons Dr
Maplewood, MO 63143-1005

Mailing address

2757 Whitecreek LN
Imperial, MO 63052-4358
Phone (314) 781-1734

Other names 1

  • Merlenbach Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

1900 Maplewood Commons Dr
Maplewood, MO 63143
Phone (314) 781-1734

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689880767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 WHITECREEK LN",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630524358",
            "telephone_number": "314-781-1734",
            "fax_number": "314-781-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAPLEWOOD COMMONS DR",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631431005",
            "telephone_number": "314-781-1734",
            "fax_number": "314-781-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERLENBACH OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERLENBACH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-781-1734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "2000169300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merlenbach Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maplewood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.