Organization Active NPI

House Call Doctors, LLC

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1871535419
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HOUSE CALL DOCTORS, LLC
Practice address
2865 Netherton Dr
Saint Louis, MO 63136-4674
Phone
(314) 653-0918
NPI assigned
Jun 11, 2006
Last updated
Aug 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Gary Pevnick, DPTNPI 1245260769
Title
Co-Owner
Phone
(314) 653-0918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

2865 Netherton Dr
Saint Louis, MO 63136-4674

Mailing address

2865 Netherton Dr
Saint Louis, MO 63136-4674
Phone (314) 653-0918

Other identifiers 2

IdentifierTypeStateIssuer
000014757OtherMOPTAN
IL6527OtherILPTAN

National Provider Directory

National Provider Directory

Locations

36 Four Seasons Shopping Ctr
Ste 202
Chesterfield, MO 63017
Phone (314) 727-2226

10764 Indian Head Industrial Blvd
Ste A
Saint Louis, MO 63132
Phone (314) 727-2226

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1871535419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 NETHERTON DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364674",
            "telephone_number": "314-653-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 NETHERTON DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364674",
            "telephone_number": "314-653-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CALL DOCTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "PEVNICK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "314-653-0918",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000014757",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "IL6527",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.