Organization Active NPI

Star Optometry Associates LLC

Doing business as Star EyeCare

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1922140052
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO 2896 Issued in MO
Legal business name
STAR OPTOMETRY ASSOCIATES LLC
Doing business as
Star EyeCare
Practice address
11750 Lusher Rd
Saint Louis, MO 63138-1103
Phone
(314) 741-1111
NPI assigned
Feb 13, 2007
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
STAR OPTOMERTY ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Mark Veenhuis, ODNPI 1467456046
Title
Ceo
Phone
(314) 741-1111

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
Optometrist 152W00000X TO 2896 MO Primary

Addresses

Primary practice location

11750 Lusher Rd
Saint Louis, MO 63138-1103

Mailing address

11750 Lusher Rd
Saint Louis, MO 63138-1103

Other names 1

  • Star EyeCare Doing business as

National Provider Directory

National Provider Directory
Part of
Star Optometry Associates LLC

Practitioners & affiliated clinicians

Practitioners 2

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1922140052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 LUSHER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 LUSHER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381103",
            "telephone_number": "314-741-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR OPTOMETRY ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR OPTOMERTY ASSOCIATES LLC",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "VEENHUIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-741-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO 2896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 2011; 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.