Angel Novel Simmons, OD
Individual provider Active NPI Optometrist · Saint Louis, MO
NPI 1841473063 · NPPES record last updated Jun 10, 2020
Key facts
- NPI
- 1841473063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2004035653 (MO)
- Practice address
- 7840 Natural Bridge Rd
Patient Care Center
Saint Louis, MO 63121-4617 - Phone
- (314) 516-5131
- Fax
- (314) 516-5507
- NPI assigned
- Dec 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Curators of the University of Missouri
Practice addresses (Care Compare)
3940 Lindell Blvd
Saint Louis, MO 63108-3204
Phone (314) 516-5016
601 James R Thompson Blvd
Suite 23030
East Saint Louis, IL 62201-1118
Phone (618) 482-8355
7840 Natural Bridge Rd
Saint Loius, MO 63121-4617
Phone (314) 516-5131
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060110000845 | MO | Practitioner - Optometry | 2365465994 | Reassigns benefits to 3 organizations |
| I20071221000273 | IL | Practitioner - Optometry | 2365465994 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curators of the University of Missouri | Optometrist | Current |
Accepting new patients |
| Curators of the University of Missouri | Optometrist | Current |
Accepting new patients |
| Curators of the University of Missouri | Current |
Accepting new patients | |
| Curators of the University of Missouri | Optometrist | Current |
Accepting new patients |
Locations
601 James R Thompson Blvd
Bldg D
East Saint Louis, IL 62201
Phone (573) 882-3629
1 University Blvd
#115
Saint Louis, MO 63121
7840 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 382-6400
1 University Blvd
#331
Saint Louis, MO 63121
1 University Blvd
Saint Louis, MO 63121
Phone (314) 516-5131
3940 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 516-5016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010023 | IL | |
| Optometrist | 152W00000X | 2004035653 | MO | Yes |
Addresses
Primary practice location
7840 Natural Bridge Rd
Patient Care Center
Saint Louis, MO 63121-4617
Mailing address
1 University Blvd
Patient Care Center
Saint Louis, MO 63121-4400
Phone (314) 516-5131
Other practice location 1
1717 Biddle St
Saint Louis, MO 63106-3454
Phone (314) 814-8700
Other practice location 2
5701 Delmar Blvd
Saint Louis, MO 63112-2617
Phone (314) 367-7848
Other practice location 3
601 James R Thompson Blvd
BLDG D Ste 2030
East St Louis, IL 62201
Phone (618) 274-0169
Other practice location 4
3940 Lindell Blvd
Saint Louis, MO 63108-3204
Phone (314) 516-5016
Other names
- Dr. Angel Michelle Novel
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.