Individual provider Active NPI

Taylor Jean Schmidt, OD

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1730603465
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2018020283 Issued in MO
Practice address
555 N New Ballas Rd Ste 232
Saint Louis, MO 63141-6849
Phone
(314) 375-2020
Fax
(314) 492-8684
NPI assigned
Aug 3, 2017
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2018020283 MO Primary

Addresses

Primary practice location

555 N New Ballas Rd Ste 232
Saint Louis, MO 63141-6849

Mailing address

555 N New Ballas Rd Ste 232
Saint Louis, MO 63141-6849
Phone (314) 375-2020

Other names 1

  • Taylor Jean Chesnut Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203004210 MO Practitioner - Optometry 5698026268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Associates, Inc.Group PAC ID 3870651508, 9 clinicians

Practice addresses (Care Compare)

1401 Triad Ctr Dr
Saint Peters, MO 63376-7353
Phone (636) 441-8010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018020283MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Associates, Inc. Optometrist CurrentSince Jan 12, 2026 Accepting new patients

Locations

1384 S 5th St
Saint Charles, MO 63301
Phone (636) 946-9242

12392 Olive Blvd
Saint Louis, MO 63141
Phone (314) 878-8770

1401 Triad Center Dr
Saint Peters, MO 63376
Phone (636) 441-8010

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1730603465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 232",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416849",
            "telephone_number": "314-375-2020",
            "fax_number": "314-492-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 232",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416849",
            "telephone_number": "314-375-2020",
            "fax_number": "314-492-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "TAYLOR",
        "middle_name": "JEAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2018020283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "CHESNUT",
            "middle_name": "JEAN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.