Individual provider Active NPI

Katherine Gettinger, O.D.

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1699157735
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2015020224 Issued in MO
Practice address
28 Maryland PLZ
Saint Louis, MO 63108-1526
Phone
(314) 361-9900
NPI assigned
Jun 25, 2015
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2015020224 MO Primary

Addresses

Primary practice location

28 Maryland PLZ
Saint Louis, MO 63108-1526

Mailing address

4137 Hartford St
Saint Louis, MO 63116-3924
Phone (309) 255-2421

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
I20150804005184 MO Practitioner - Optometry 3476867441 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015020224MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Appelman Eye Associates, LLC Optometrist CurrentSince Jun 25, 2015 Accepting new patients
Red Eye, Inc. Optometrist CurrentSince Jan 1, 2021 Accepting new patients
St Louis Society for the Blind CurrentSince Feb 4, 2021 Accepting new patients
Ladue Optometry LLC Optometrist PastSince Jan 26, 2020 Accepting new patients
St. Louis Society for the Blind PastSince Feb 4, 2021 Accepting new patients

Locations

8770 Manchester Rd
Saint Louis, MO 63144
Phone (314) 968-9000

9717 Clayton Rd
Saint Louis, MO 63124
Phone (314) 997-0002

100 Piper Hill Dr
Ste D
Saint Peters, MO 63376
Phone (636) 928-3937

Organizations & group practices 5

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1699157735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 HARTFORD ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163924",
            "telephone_number": "309-255-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MARYLAND PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081526",
            "telephone_number": "314-361-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETTINGER",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2015020224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.