Individual provider Active NPI

Sharon Jick, M.D.

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1801830039
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2003015681 Issued in MO
Practice address
9890 Clayton Rd
Suite 200
Saint Louis, MO 63124-1685
Phone
(314) 395-9613
Fax
(314) 395-9621
NPI assigned
Jun 16, 2006
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2003015681 MO Primary

Addresses

Primary practice location

9890 Clayton Rd
Suite 200
Saint Louis, MO 63124-1685

Mailing address

9890 Clayton Rd
Suite 200
Saint Louis, MO 63124-1685
Phone (314) 395-9613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000567 MO Practitioner - Ophthalmology 1153317177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Eye Surgery LLCGroup PAC ID 7315200888, 13 clinicians

Practice addresses (Care Compare)

12400 Olive Blvd
Suite 200
Creve Coeur, MO 63141-5436
Phone (314) 391-9400

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
88.28
Improvement activities
40
Cost
43.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003015681MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James C. Bobrow, Inc. Ophthalmology PastSince Jul 16, 1997 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjick@eyestl.updoxdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1801830039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 CLAYTON RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241685",
            "telephone_number": "314-395-9613",
            "fax_number": "314-395-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 CLAYTON RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241685",
            "telephone_number": "314-395-9613",
            "fax_number": "314-395-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JICK",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2003015681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.