Delta Gamma Center for Children With Visual Impairments

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DELTA GAMMA CENTER FOR CHILDREN WITH VISUAL IMPAIRMENTS

Practice address

1750 S Big Bend Blvd
Richmond Heights, MO 63117-2402

Phone

(314) 776-1300

Fax

(314) 776-7808

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debbie Naucke, MSW

Title

Executive Director

Phone

(314) 776-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Kathleen Joan Boland, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1093822389
  NPD (past)
• Bethany Jo Mathis

  • Developmental Therapist
  • Troy, IL
  • NPI 1528603404
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1780711192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S BIG BEND BLVD",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631172402",
            "telephone_number": "314-776-1300",
            "fax_number": "314-776-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S BIG BEND BLVD",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631172402",
            "telephone_number": "314-776-1300",
            "fax_number": "314-776-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA GAMMA CENTER FOR CHILDREN WITH VISUAL IMPAIRMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "NAUCKE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-776-1300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "629734104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiera Eileen Daly, PT, DPT
• Dan Weinstein, Psy.D., LLC
• Christina Mosher Daniel
• Ya Binta Darboe
• Katherine Elizabeth Dehoog
• Leah Dents, LPC
• Trusha Dodiya, DPT
• Audrey Kate Dombrowski, MS, RD, LD
• Ruth Dorhauer, LPC
• Rebecca Dubberke

• Customized Equipment (DME) in Richmond Heights, MO
• Providers in Richmond Heights, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.