NPIMap

Organization Active NPI

O'Donnell Eye Institute, Inc.

  • Specialist
  • Kirkwood, MO
National Provider Identifier
1932227485
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
103873 Issued in MO
Legal business name
O'DONNELL EYE INSTITUTE, INC.
Practice address
1034 S Kirkwood Rd
Kirkwood, MO 63122-7200
Phone
(314) 821-4252
Fax
(314) 821-4080
NPI assigned
Mar 26, 2007
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Deborah L Swallow
Title
President - Ceo
Phone
(314) 821-4252

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X T03150 MO
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X R9F62 MO
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 103873 MO Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X R9A10 MO

Addresses

Primary practice location

1034 S Kirkwood Rd
Kirkwood, MO 63122-7200

Mailing address

1034 S Kirkwood Rd
Kirkwood, MO 63122-7200
Phone (314) 821-4252

Other identifiers 4

IdentifierTypeStateIssuer
10165COtherMOANTHEM BCBS HEALTH PLAN
35724OtherMOCMR GROUP HEALTH PLAN
34824OtherMOGROUP HEALTH PLAN
502893704MedicaidMO

National Provider Directory

National Provider Directory

Locations

1034 S Kirkwood Rd
Saint Louis, MO 63122
Phone (314) 821-4252

6324 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 293-2221

Practitioners & affiliated clinicians

Practitioners 8

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1932227485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227200",
            "telephone_number": "314-821-4252",
            "fax_number": "314-821-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227200",
            "telephone_number": "314-821-4252",
            "fax_number": "314-821-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'DONNELL EYE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "SWALLOW",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT - CEO",
        "authorized_official_telephone_number": "314-821-4252"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03150",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R9F62",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "103873",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R9A10",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS HEALTH PLAN",
            "identifier": "10165C",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMR GROUP HEALTH PLAN",
            "identifier": "35724",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "34824",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502893704",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.