Surevision Eye Centers Midwest LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUREVISION EYE CENTERS MIDWEST LLC

Doing business as

SureVision Optical Shops

Practice address

12101 Woodcrest Executive Dr Ste 150
Creve Coeur, MO 63141-5050

Phone

(314) 921-2020

Fax

(314) 863-9977

NPI assigned

Jan 18, 2007

Last updated

Sep 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelley Lynn Miana, COE

Title

Coo

Phone

(314) 726-5669

Specialties & licenses 1

Addresses

Other names 1

• SureVision Optical Shops Doing business as

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1851444517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR",
            "address_2": "STE 111",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422736",
            "telephone_number": "314-726-5669",
            "fax_number": "314-726-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 WOODCREST EXECUTIVE DR STE 150",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415050",
            "telephone_number": "314-921-2020",
            "fax_number": "314-863-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUREVISION EYE CENTERS MIDWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MIANA",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "314-726-5669",
        "authorized_official_credential": "COE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SureVision Optical Shops",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SureVision Optical Shops",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allyson Suiter
• Hailey Jo Sullivan
• Sunshine Healthcare, LLC
• Holly E Surber, P.T.
• Surevision Eye Centers Midwest LLC (SureVision Eye Centers)
• Surgery Centers of Missouri
• Surgery Centers of Missouri, LLC
• Surgical Center of Creve Coeur
• Brandi Jo Sutter, MPT
• Brianna Swindle, OTR/L

• Durable Medical Equipment & Medical Supplies in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.