Individual provider Active NPI

Thomas Eric Stickel, OD

  • Optometrist
  • Florissant, MO
National Provider Identifier
1861578643
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2001025242 Issued in MO
Practice address
900 N Hwy 67
Florissant, MO 63031
Phone
(314) 838-0300
Fax
(314) 838-4682
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2001025242 MO Primary

Addresses

Primary practice location

900 N Hwy 67
Florissant, MO 63031

Mailing address

900 N Hwy 67
Florissant, MO 63031
Phone (314) 838-0300

Other identifiers 9

IdentifierTypeStateIssuer
7442309OtherAETNA
33666OtherCOORDINATED VISION CARE
111777OtherMERCY HEALTH PLANS
2141308OtherUNITED HEALTHCARE
24942OtherOPTICARE EYE HLTH NETWORK
103480OtherGROUP HEALTH PLAN
475940OtherHEALTHLINK
167299OtherEYEMED VISION CARE
154765OtherBCBS

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
I20100616000328 MO Practitioner - Optometry 4587794631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center IncGroup PAC ID 4183651565, 4 clinicians

Practice addresses (Care Compare)

4750 Mexico Rd
Suite 200
Saint Peters, MO 63376-1668
Phone (636) 441-1200

900 N Hwy 67 St
Florissant, MO 63031-2919
Phone (314) 838-0300

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
95.49
Improvement activities
40
Cost
79.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001025242MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center Inc Optometrist CurrentSince Jan 1, 2002 Accepting new patients
The Eye Center Inc Past Accepting new patients
Antoine Eye Care, LLC Optometrist Past Accepting new patients

Locations

900 N Highway 67 St
Florissant, MO 63031
Phone (314) 838-0300

4750 Mexico Rd
Ste 200
Saint Peters, MO 63376
Phone (314) 838-0300

Interoperability endpoints

  • Direct secure messaging: tstickel@directaddress.net
  • Direct secure messaging: tstickel@tecmo.intellechartdirect.net

Organizations & group practices 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1861578643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N HWY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63031",
            "telephone_number": "314-838-0300",
            "fax_number": "314-838-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HWY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63031",
            "telephone_number": "314-838-0300",
            "fax_number": "314-838-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKEL",
        "first_name": "THOMAS",
        "middle_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2001025242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7442309",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COORDINATED VISION CARE",
            "identifier": "33666",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "111777",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2141308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE EYE HLTH NETWORK",
            "identifier": "24942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "103480",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "475940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "167299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "154765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.