NPIMap

Organization Active NPI

Eye Microsurgery, LTD.

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1730207994
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32153 Issued in MO
Legal business name
EYE MICROSURGERY, LTD.
Practice address
6400 Clayton Rd
Suite 416
Saint Louis, MO 63117-1850
Phone
(314) 647-2277
NPI assigned
Mar 27, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Kathy Shasserre
Title
Office Manager
Phone
(314) 647-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 32153 MO Primary

Addresses

Primary practice location

6400 Clayton Rd
Suite 416
Saint Louis, MO 63117-1850

Mailing address

6400 Clayton Rd
Suite 416
Saint Louis, MO 63117-1850

Other identifiers 1

IdentifierTypeStateIssuer
DG1257OtherMORAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

6400 Clayton Rd
Ste 416
Saint Louis, MO 63117
Phone (314) 647-2277

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1730207994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 CLAYTON RD",
            "address_2": "SUITE 416",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CLAYTON RD",
            "address_2": "SUITE 416",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171850",
            "telephone_number": "314-647-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MICROSURGERY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SHASSERRE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-647-2277"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "32153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1257",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.