NPIMap

Organization Active NPI

Richard J. St. Louis O.D. P.C.

  • Optometrist
  • Waterford, MI
National Provider Identifier
1730325747
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RICHARD J. ST. LOUIS O.D. P.C.
Practice address
4486 W Walton Blvd
Waterford, MI 48329-4073
Phone
(248) 673-7601
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Dr. Richard James St. Louis, ODNPI 1710038401
Title
Optometrist/Owner
Phone
(248) 673-7601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4486 W Walton Blvd
Waterford, MI 48329-4073

Mailing address

4486 W Walton Blvd
Waterford, MI 48329-4073
Phone (248) 673-7601

National Provider Directory

National Provider Directory

Locations

4486 W Walton Blvd
Waterford, MI 48329
Phone (248) 356-1330

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1730325747",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. ST. LOUIS O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "ST. LOUIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "248-673-7601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.