Active NPI
Thomas Eric Stickel, OD
- Optometrist
- Florissant, MO
National Provider Identifier
1861578643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2001025242
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7442309 | Other | AETNA | |
| 33666 | Other | COORDINATED VISION CARE | |
| 111777 | Other | MERCY HEALTH PLANS | |
| 2141308 | Other | UNITED HEALTHCARE | |
| 24942 | Other | OPTICARE EYE HLTH NETWORK | |
| 103480 | Other | GROUP HEALTH PLAN | |
| 475940 | Other | HEALTHLINK | |
| 167299 | Other | EYEMED VISION CARE | |
| 154765 | Other | BCBS |
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
Enrollment records 1
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
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 100
- Quality
- 95.49
- Improvement activities
- 40
- Cost
- 79.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001025242 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Center Inc | Optometrist | Current | 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
- tstickel@directaddress.net
- 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.
-
- Optometrist
- Saint Louis, MO
- NPI 1881772937
-
- Eyewear Supplier
- Florissant, MO
- NPI 1932411428
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.