Organization Active NPI

Metro Eye Associates, LLC

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1780140392
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
METRO EYE ASSOCIATES, LLC
Practice address
13131 Tesson Ferry Rd Ste 108
Saint Louis, MO 63128-3887
Phone
(314) 842-2020
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Lisa Dinsmore
Title
Administrator
Phone
(314) 842-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

13131 Tesson Ferry Rd Ste 108
Saint Louis, MO 63128-3887

Mailing address

13131 Tesson Ferry Rd Ste 108
Saint Louis, MO 63128-3887
Phone (314) 843-5800

Other names 1

  • South County Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190226002019 MO Part B Supplier - Clinic/Group Practice 9638418247 Receives reassigned benefits from 3 practitioners
Practice locations: St Louis, MO

National Provider Directory

National Provider Directory

Locations

13131 Tesson Ferry Rd
Ste 108
Saint Louis, MO 63128
Phone (314) 842-2020

10296 Big Bend Rd
Ste 100
Saint Louis, MO 63122
Phone (314) 443-5142

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1780140392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13131 TESSON FERRY RD STE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283887",
            "telephone_number": "314-843-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13131 TESSON FERRY RD STE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283887",
            "telephone_number": "314-842-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "DINSMORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-842-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South County Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.