Saint Peters Eye Care Center LTD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02357 Issued in MO

Legal business name

SAINT PETERS EYE CARE CENTER LTD.

Practice address

6764 Mexico Rd
Saint Peters, MO 63376-1505

Phone

(636) 397-2020

Fax

(636) 278-2040

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Greeley Lydon, O.D.

Title

President

Phone

(636) 397-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcus Andrew Cuff, O.D

  • Optometrist
  • Swansea, IL
  • NPI 1588952501
  NPD (past)

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1881823334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6764 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761505",
            "telephone_number": "636-397-2020",
            "fax_number": "636-278-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6764 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761505",
            "telephone_number": "636-397-2020",
            "fax_number": "636-278-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT PETERS EYE CARE CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "LYDON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "GREELEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-397-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Battula MD LLC
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• Megan Sachs, DPT
• Sai Apothecary LLC (Excel Pharmacy)
• Sai Apothecary LLC (Excel Pharmacy)
• Lisa A Salem, FNP
• Mark Salem
• Elizabeth Salmo, M.S., LPC, LCPC, NCC
• Suzanne Marie Salmo, MSW, LCSW
• Carrie Lynn Salyer, OTR

• Optometrist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.