NPIMap

Organization Active NPI

Advanced Sight Center, Inc

  • Ophthalmology Physician
  • Creve Coeur, MO
National Provider Identifier
1760404560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R9366 Issued in MO
Legal business name
ADVANCED SIGHT CENTER, INC
Practice address
12601 Olive Blvd
Creve Coeur, MO 63141-6313
Phone
(314) 878-4228
Fax
(314) 878-7747
NPI assigned
Jul 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Howard Newton Short, MD
Title
Owner
Phone
(314) 878-4228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R9366 MO Primary

Addresses

Primary practice location

12601 Olive Blvd
Creve Coeur, MO 63141-6313

Mailing address

12601 Olive Blvd
Creve Coeur, MO 63141-6313
Phone (314) 878-4228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760404560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416313",
            "telephone_number": "314-878-4228",
            "fax_number": "314-878-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416313",
            "telephone_number": "314-878-4228",
            "fax_number": "314-878-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SIGHT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-878-4228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R9366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.