NPIMap

Organization Active NPI

Eye Physicians of Saint Louis

  • Eyewear Supplier
  • St. Louis, MO
National Provider Identifier
1811102411
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE PHYSICIANS OF SAINT LOUIS
Practice address
6680 Chippewa St.
#220
St. Louis, MO 63109-2537
Phone
(314) 351-0101
Fax
(314) 351-4697
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Ms. Jennifer Beth Luchtefeld
Title
Administrator
Phone
(314) 351-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

6680 Chippewa St.
#220
St. Louis, MO 63109-2537

Mailing address

6680 Chippewa St.
Suite 220
St. Louis, MO 63109-2537
Phone (314) 351-0101

Other names 1

  • Pernoud Eye Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930072743 MO DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 3870584428 Practice locations: Saint Louis, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eye Physicians of St Louis Inc6680 Chippewa St, Saint Louis, MO 63109-2537(314) 351-0101 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
Eye Physicians of Saint Louis3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12255 De Paul Dr
Ste 705
Bridgeton, MO 63044
Phone (314) 781-3900

6680 Chippewa St
Ste 220
Saint Louis, MO 63109
Phone (314) 351-0101

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1811102411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 CHIPPEWA ST.",
            "address_2": "SUITE 220",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631092537",
            "telephone_number": "314-351-0101",
            "fax_number": "314-351-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6680 CHIPPEWA ST.",
            "address_2": "#220",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631092537",
            "telephone_number": "314-351-0101",
            "fax_number": "314-351-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF SAINT LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "LUCHTEFELD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-351-0101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pernoud Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.