Flavius Gentry Pernoud III, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R5727 Issued in MO

Practice address

6680 Chippewa St
Suite 220
Saint Louis, MO 63109-2537

Phone

(314) 351-0101

Fax

(314) 351-4697

NPI assigned

Mar 9, 2006

Sex

Male

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Eye Physicians of Saint Louis Inc.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1225096928
  Medicare reassignment NPD
• Eye Physicians of Saint Louis

  • Eyewear Supplier
  • St. Louis, MO
  • NPI 1811102411

  Ophthalmology

  NPD

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1750359345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 CHIPPEWA ST",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092537",
            "telephone_number": "314-351-0101",
            "fax_number": "314-351-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6680 CHIPPEWA ST",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092537",
            "telephone_number": "314-351-0101",
            "fax_number": "314-351-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNOUD",
        "first_name": "FLAVIUS",
        "middle_name": "GENTRY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R5727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Perlmutter, OT
• David H Perlmutter, MD
• Joel S Perlmutter, MD
• Monica S Perlmutter, OT
• David Joel Pernikoff, M.D.
• Joan Marie Pernoud, M.D.
• Michelle Suzanne Perotta, LMSW
• Gary Perotti, CRNA
• Haley N Perotti, PA
• Susan Peroutka, MA CCC-SLP

• Ophthalmology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.