Morgan Rebecca Poore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2017017166 Issued in MO

Practice address

555 N New Ballas Rd Ste 310
Saint Louis, MO 63141-6896

Phone

(314) 375-2020

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

No

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.

• International Eyecare Center, Inc.

  • Optometrist
  • Lavista, NE
  • NPI 1740461979
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1720517386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416896",
            "telephone_number": "314-375-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416896",
            "telephone_number": "314-375-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORE",
        "first_name": "MORGAN",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2017017166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce L Poole, LCSW
• Kate Poole, OT
• Mackenzie Kaelyn Poole, MD, MBA
• Mark Ellsworth Poole
• Jordan Poore, MOT, OTR/L
• Nongnooch Poowanawittayakom, MD
• Abbi Lyn Pope ( Piper)
• Myesha Pope, MSW
• Spencer Ryan Pope, DO
• Brooke L Popejoy, SRNA

• 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 Mar 28, 2018; 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.