Fontana Eyecare Associates, LLC.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

T02260 Issued in MO

Legal business name

FONTANA EYECARE ASSOCIATES, LLC.

Practice address

16 Hampton Village PLZ
Suite 249
Saint Louis, MO 63109-2128

Phone

(314) 353-6171

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Paul Douglas Becherer, O.D.

Title

Manager

Phone

(314) 353-6171

Specialties & licenses 1

Addresses

Practitioners 2

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

• Jeffrey Alan Kempf, O.D.

  • Optometrist
  • Saint Louis, MO
  • NPI 1386604411
  NPD (past)
• Lesley K Olswing, O.D.

  • Optometrist
  • Ames, IA
  • NPI 1902069305
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1770664625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAMPTON VILLAGE PLZ",
            "address_2": "SUITE 249",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092128",
            "telephone_number": "314-353-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAMPTON VILLAGE PLZ",
            "address_2": "SUITE 249",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092128",
            "telephone_number": "314-353-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTANA EYECARE ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BECHERER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-353-6171",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "T02260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Fong, MD
• Thomas H. Fong, M.D.
• Wing Man Fong, PHD
• Carson Blaine Fonner, DPT
• Ricardo Alejandro Fonseca Ruiz, MD
• Carolina Fonte Suau, C-AA
• Debra Lynn Fontenot, M.S.W. L.C.S.W.
• Foot & Ankle Center, LLC (The Foot and Ankle Center Sunset Hills)
• Foot & Ankle Center, LLC
• Foot & Ankle Center, LLC (Foot & Ankle Center, LLC 63127)

• Corneal and Contact Management Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Corneal and Contact Management Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.