NPIMap

Organization Active NPI

Doell Davidson & Associates Optometry PC

Doing business as Webster Eyecare

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1780723411
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOELL DAVIDSON & ASSOCIATES OPTOMETRY PC
Doing business as
Webster Eyecare
Practice address
7954 Big Bend Blvd
Saint Louis, MO 63119-2711
Phone
(314) 962-7580
Fax
(314) 962-3026
NPI assigned
Feb 6, 2007
Last updated
Sep 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Mrs. Diane Marie Trelford
Title
Office Manager
Phone
(314) 962-7580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7954 Big Bend Blvd
Saint Louis, MO 63119-2711

Mailing address

7954 Big Bend Blvd
Saint Louis, MO 63119-2711
Phone (314) 962-7580

Other names 1

  • Webster Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

7954 Big Bend Blvd
Webster Grvs, MO 63119
Phone (314) 962-7580

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1780723411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7954 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192711",
            "telephone_number": "314-962-7580",
            "fax_number": "314-962-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192711",
            "telephone_number": "314-962-7580",
            "fax_number": "314-962-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOELL DAVIDSON & ASSOCIATES OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "TRELFORD",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-962-7580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Eyecare",
            "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 Sep 4, 2009; 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.