Individual provider Active NPI

Bernard M Kovacs, O.D.

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1831179670
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2003020949 Issued in MO
Practice address
176 Crestwood PLZ
Saint Louis, MO 63126-1701
Phone
(314) 968-3660
Fax
(314) 968-3559
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2003020949 MO Primary

Addresses

Primary practice location

176 Crestwood PLZ
Saint Louis, MO 63126-1701

Mailing address

13 Meadow Lake Dr
Saint Louis, MO 63146-5468
Phone (314) 432-5319

Other identifiers 2

IdentifierTypeStateIssuer
183966OtherMOBCBS OF MISSOURI
567053OtherMOHEALTHLINK

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000597 MO Practitioner - Optometry 6305735598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003013NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Eyecare, LLC Optometrist CurrentSince Mar 6, 2019 Accepting new patients
Poughkeepsie Optometry PC Optometrist PastSince Feb 1, 2003 Accepting new patients

Locations

17 Ronnies Plz
Saint Louis, MO 63126
Phone (314) 843-2020

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831179670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MEADOW LAKE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465468",
            "telephone_number": "314-432-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 CRESTWOOD PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261701",
            "telephone_number": "314-968-3660",
            "fax_number": "314-968-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "BERNARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2003020949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MISSOURI",
            "identifier": "183966",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "567053",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.