Individual provider Active NPI

Melissa S Wilcox-Erard, OD

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1760518666
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03225 Issued in MO
Practice address
621 S New Ballas Rd Ste 140a
Saint Louis, MO 63141-8254
Phone
(314) 251-6430
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03225 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 140a
Saint Louis, MO 63141-8254

Mailing address

621 S New Ballas Rd Ste 140a
Saint Louis, MO 63141-8254
Phone (314) 251-6430

Other practice location 1

34 Hampton Village Plz
Saint Louis, MO 63109-2127
Phone (314) 752-2679

Other practice location 2

621 S New Ballas Rd Ste 5006B
Saint Louis, MO 63141-8270
Phone (314) 251-5300

Other practice location 3

621 S New Ballas Rd Ste 7A
Saint Louis, MO 63141-8239
Phone (314) 251-6430

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
I20070628000275 MO Practitioner - Optometry 9133228364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Ophthalmology LLCGroup PAC ID 1951544428, 17 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 5006B
Saint Louis, MO 63141-8270
Phone (314) 251-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Ophthalmology LLC CurrentSince Sep 19, 2022 Accepting new patients

Locations

621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300

34 Hampton Village Plz
Saint Louis, MO 63109
Phone (314) 251-6430

621 S New Ballas Rd
Ste 140A
Saint Louis, MO 63141
Phone (314) 251-5300

621 S New Ballas Rd
Ste 7A
Saint Louis, MO 63141
Phone (314) 251-6430

851 E 5th St
Ste 112
Washington, MO 63090
Phone (636) 239-8345

901 Patients First Dr
Ste 2600
Washington, MO 63090
Phone (636) 231-3651

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1760518666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 140A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418254",
            "telephone_number": "314-251-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 140A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418254",
            "telephone_number": "314-251-6430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Hampton Village Plz",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631092127",
            "country_code": "US",
            "telephone_number": "314-752-2679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 S New Ballas Rd Ste 5006B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418270",
            "country_code": "US",
            "telephone_number": "314-251-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 S New Ballas Rd Ste 7A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418239",
            "country_code": "US",
            "telephone_number": "314-251-6430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX-ERARD",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.