Individual provider Active NPI

Nicholas Todd Ranson, M. D.

  • Ophthalmology Physician
  • Des Peres, MO
National Provider Identifier
1790783041
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2024004550 Issued in MO
Practice address
12990 Manchester Rd Ste 201
Des Peres, MO 63131-1860
Phone
(314) 909-0633
NPI assigned
Jul 11, 2005
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 2024004550 MO
Ophthalmology Physician 207W00000X 164310 MT
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD00042059 WA
Ophthalmology Physician 207W00000X 2024004550 MO Primary
Ophthalmology Physician 207W00000X MD00042059 WA

Addresses

Primary practice location

12990 Manchester Rd Ste 201
Des Peres, MO 63131-1860

Mailing address

PO Box 7364890
Chicago, IL 60673-0001
Phone (314) 909-0633

Other practice location 1

1066 Executive Parkway Dr Ste 200
Saint Louis, MO 63141-6340
Phone (314) 394-3201

Other practice location 2

4900 W Main St
Belleville, IL 62226-4725
Phone (618) 277-1130

Other practice location 3

3513 Harry S Truman Blvd
Saint Charles, MO 63301-4077
Phone (636) 688-7500

Other practice location 4

12692 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128-2746
Phone (314) 432-5478

Other practice location 5

3990 N Illinois St
Swansea, IL 62226-1919
Phone (618) 277-1130

Other practice location 6

2121 S State Route 157
Edwardsville, IL 62025-3691
Phone (618) 277-1130

Other practice location 7

12 Professional Park Dr
Maryville, IL 62062-5672
Phone (618) 277-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240409001801 MO Practitioner - Ophthalmology 8022008853 Reassigns benefits to 1 organization
I20240919000843 IL Practitioner - Ophthalmology 8022008853 Reassigns benefits to 1 organization
I20260511001565 MT Practitioner - Ophthalmology 8022008853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Columbia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Consultants LLCGroup PAC ID 6800884008, 22 clinicians
Glacier Eye Clinic PCGroup PAC ID 5193728293, 12 clinicians
JFJ Eyecare LTDGroup PAC ID 8224009865, 13 clinicians

Practice addresses (Care Compare)

12692 Lamplighter Square SHPG Ctr
Saint Louis, MO 63128-2746
Phone (314) 432-5478

175 Timberwolf Pkwy
Kalispell, MT 59901-1218
Phone (406) 257-2020

3990 N Illinois St
Swansea, IL 62226-1919
Phone (618) 277-1130

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
164310MTMDOphthalmology Physician
MD00042059WAMDOphthalmology Physician
2024004550MOMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JFJ Eyecare LTD CurrentSince Aug 13, 2024 Accepting new patients
JFJ Eyecare, LTD CurrentSince Aug 13, 2024 Accepting new patients
Ophthalmology Consultants, LLC Ophthalmology CurrentSince Apr 1, 2024 Accepting new patients
Ophthalmology Consultants, LLC Ophthalmology CurrentSince Apr 1, 2024 Accepting new patients

Locations

4900 W Main St
Belleville, IL 62226
Phone (618) 235-2400

408 W 2nd St
Centralia, IL 62801
Phone (618) 532-5531

2121 S State Route 157
Edwardsville, IL 62025
Phone (618) 656-7774

12 Professional Park Dr
Maryville, IL 62062
Phone (618) 288-7266

3990 N Illinois St
Swansea, IL 62226
Phone (618) 235-3100

3513 Harry S Truman Blvd
Saint Charles, MO 63301
Phone (636) 688-7500

1066 Executive Parkway Dr
Ste 200
Saint Louis, MO 63141
Phone (314) 394-3201

12692 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128
Phone (314) 432-5478

12990 Manchester Rd
Ste 201
Saint Louis, MO 63131
Phone (314) 909-0633

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

Interoperability endpoints

  • Direct secure messaging: nicholas.ranson.p1@direct.ocltd.nextgenshare.com
  • Direct secure messaging: nicholas.ranson.p2@direct.ocltd.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1790783041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7364890",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606730001",
            "telephone_number": "314-909-0633",
            "fax_number": "314-569-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD STE 201",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311860",
            "telephone_number": "314-909-0633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1066 Executive Parkway Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416340",
            "country_code": "US",
            "telephone_number": "314-394-3201",
            "fax_number": "314-394-3253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 W Main St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622264725",
            "country_code": "US",
            "telephone_number": "618-277-1130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3513 Harry S Truman Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633014077",
            "country_code": "US",
            "telephone_number": "636-688-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12692 Lamplighter Square Shpg Ctr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282746",
            "country_code": "US",
            "telephone_number": "314-432-5478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3990 N Illinois St",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622261919",
            "country_code": "US",
            "telephone_number": "618-277-1130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 S State Route 157",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253691",
            "country_code": "US",
            "telephone_number": "618-277-1130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620625672",
            "country_code": "US",
            "telephone_number": "618-277-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANSON",
        "first_name": "NICHOLAS",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2024004550",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MT",
            "license": "164310",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD00042059",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2024004550",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00042059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Peres, MO

Sources for this page

Verify at the official NPI Registry.