Eyecare Management LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE MANAGEMENT LLC

Practice address

12818 Tesson Ferry Rd
Suite 201
Saint Louis, MO 63128-2945

Phone

(314) 843-4044

Fax

(314) 843-2941

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Sandra L Cummins

Title

Billing Department MGR

Phone

(618) 277-1130

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Quantum Vision Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven F Lee, MD

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1134118482
  NPD (past)
• Joan Marie Pernoud, M.D.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1477520476
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1699806919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W LINCOLN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202019",
            "telephone_number": "618-277-1130",
            "fax_number": "618-937-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 TESSON FERRY RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282945",
            "telephone_number": "314-843-4044",
            "fax_number": "314-843-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING DEPARTMENT MGR",
        "authorized_official_telephone_number": "618-277-1130"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202559308",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317834034",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quantum Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eye Microsurgery, LTD.
• Eye Physicians of Saint Louis
• Eye Physicians of Saint Louis Inc.
• Eye Surgeons & Physicians of St Louis LTD
• Eye Surgical Services LLC
• Eyewearhaus, Inc
• Blake Thomas Eyres, D.D.S.
• Chisom Eze, MD
• Carla Ezell
• Chime Ezenekwe

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.