Organization Active NPI

Essential Eyecare, LLC

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1891358115
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ESSENTIAL EYECARE, LLC
Practice address
7256 Pershing Ave Unit B
Saint Louis, MO 63130-4248
Phone
(314) 494-1125
Fax
(314) 863-7586
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Frank Wasserman, ODNPI 1154338481
Title
Physician/Owner
Phone
(314) 494-1125

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7256 Pershing Ave Unit B
Saint Louis, MO 63130-4248

Mailing address

7256 Pershing Ave Unit B
Saint Louis, MO 63130-4248
Phone (314) 494-1125

Other identifiers 1

IdentifierTypeStateIssuer
310753744MedicaidMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1891358115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7256 PERSHING AVE UNIT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304248",
            "telephone_number": "314-494-1125",
            "fax_number": "314-863-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7256 PERSHING AVE UNIT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304248",
            "telephone_number": "314-494-1125",
            "fax_number": "314-863-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "314-494-1125",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310753744",
            "state": "MO"
        }
    ],
    "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 Apr 22, 2019; 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.