Richard James St Louis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002559 Issued in MI

Practice address

4486 W. Walton Blvd
Waterford, MI 48329-4073

Phone

(248) 673-7601

Fax

(248) 673-1317

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Richard J. St. Louis O.D. P.C.

  • Optometrist
  • Waterford, MI
  • NPI 1730325747
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1710038401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 W. WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294073",
            "telephone_number": "248-673-7601",
            "fax_number": "248-673-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4486 W. WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294073",
            "telephone_number": "248-673-7601",
            "fax_number": "248-673-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST LOUIS",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Elizabeth Speakman, LLMSW
• Specialist Rehab Services Inc.
• Megan Spees, MA, LLP, CAADC
• Jaime Catherine Spellman, PHARMD
• Kimberley Lynn Spencer-Ion, DNP, FNP-C
• Jan St. Germain, OTR/L
• Anne Marie St. Louis, O.D.
• Stacey Stefansky DPM PLLC
• Cindy Marie Stader, LMSW
• Wendy Lee Standifer, MA, LPC, NCC

• Optometrist in Waterford, MI
• Providers in Waterford, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.