Eye Care Vision Center II Inc Erkers Kirkwood

Primary specialty

OptometristTaxonomy code 152W00000X

License

MO2593 Issued in MO

Legal business name

EYE CARE VISION CENTER II INC ERKERS KIRKWOOD

Doing business as

Eyecare Washington

Practice address

1090 Washington SQ
Washington, MO 63090-5302

Phone

(636) 239-2020

Fax

(636) 239-5766

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter M. Gubany, O.D.

Title

President and Optometrist

Phone

(636) 239-2020

Specialties & licenses 1

Addresses

Other names 1

• Eyecare Washington Doing business as

Locations

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1700010592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 WASHINGTON SQUARE",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-239-2020",
            "fax_number": "636-239-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 WASHINGTON SQ",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905302",
            "telephone_number": "636-239-2020",
            "fax_number": "636-239-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE VISION CENTER II INC ERKERS KIRKWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "GUBANY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT AND OPTOMETRIST",
        "authorized_official_telephone_number": "636-239-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "MO2593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bobby Vitaya Enkvetchakul, MD
• Olivia Grace Erway, PA-C
• Ira Nathan Ettinger, O.D.
• Everside Health LLC Washington Health Ctr
• Exceptional Equestrians of the Missouri Valley, Inc.
• Family Wholistic Wellness
• Michael John Faris, PT
• Thomas M Farrell, M.D.
• Annmarie Faust
• Emily Feddersen

• Optometrist in Washington, MO
• Providers in Washington, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.