Individual provider Active NPI

Stephen A Wexler, M.D.

  • Ophthalmology Physician
  • Richmond Heights, MO
National Provider Identifier
1700822012
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R5F00 Issued in MO
Practice address
15 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118
Phone
(314) 863-4200
Fax
(314) 863-3570
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R5F00 MO Primary

Addresses

Primary practice location

15 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118

Mailing address

15 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118
Phone (314) 863-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5F00MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bismarck Lasik Current Accepting new patients
TLC Laser Eye Centers (Refractive I) Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1700822012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 THE BOULEVARD SAINT LOUIS",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171118",
            "telephone_number": "314-863-4200",
            "fax_number": "314-863-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 THE BOULEVARD SAINT LOUIS",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171118",
            "telephone_number": "314-863-4200",
            "fax_number": "314-863-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEXLER",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R5F00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.