Chabot Community Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHABOT COMMUNITY EYE CARE PC

Practice address

248 S Florissant Rd
Ferguson, MO 63135-2736

Phone

(314) 522-8773

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Chabot

Title

Administrator

Phone

(314) 522-8773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mobile Eye Care Solutions Doing business as

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy A Beatty, O.D

  • Optometrist
  • Chesterfield, MO
  • NPI 1225198013
  NPD (past)
• Alison Mary Burd, O.D.

  • Optometrist
  • Desloge, MO
  • NPI 1205064615
  NPD (past)
• Michael Lane, OD

  • Optometrist
  • Chesterfield, MO
  • NPI 1144338393
  NPD (past)
• Anna D Naumovich, MD

  • Internal Medicine Physician
  • St Louis, MO
  • NPI 1669542668
  NPD (past)
• Kerry Anne Young, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1144381690
  NPD (past)
• Sally Grace Irwin, O.D.

  • Optometrist
  • Manhattan, KS
  • NPI 1417118183
  NPD (past)
• Becky Rock, O.D

  • Optometrist
  • Highland, IL
  • NPI 1134289739
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1831228071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 S FLORISSANT RD",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352736",
            "telephone_number": "314-522-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 S FLORISSANT RD",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352736",
            "telephone_number": "314-522-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHABOT COMMUNITY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "CHABOT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-522-8773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509295507",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Eye Care Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry C Buck II, DO
• Building Loving Bridges Home Care LLC
• Brittany Campbell, CD,CLC, TM
• Adam Carey
• Chabot Community Eye Care
• Lisa Chabot, O.D
• Dorothy N Charles, MD
• Basudev Chaudhary, M.B.B.S
• Christian Care Home
• Takeela Chounta Clemons

• All providers in Ferguson, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.