NPIMap

Organization Active NPI

The Koetting Associates Inc.

  • Optometrist
  • Ellisville, MO
National Provider Identifier
1962868463
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02516 Issued in MO
Legal business name
THE KOETTING ASSOCIATES INC.
Practice address
113 Old State Rd
Suite101
Ellisville, MO 63021-2042
Phone
(636) 256-7800
Fax
(636) 394-1011
NPI assigned
Jan 13, 2016
Organization subpart
Yes
Parent organization
THE KOETTING ASSOCIATES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Carmen F Castellano, ODNPI 1710015748
Title
President/Owner
Phone
(314) 863-0000

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 T02516 MO Primary

Addresses

Primary practice location

113 Old State Rd
Suite101
Ellisville, MO 63021-2042

Mailing address

2511 S Brentwood Blvd
Saint Louis, MO 63144-2308
Phone (314) 863-0000

Other names 1

  • Eye Center of West County Doing business as

National Provider Directory

National Provider Directory
Part of
The Koetting Associates Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1962868463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 S BRENTWOOD BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442308",
            "telephone_number": "314-863-0000",
            "fax_number": "314-961-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 OLD STATE RD",
            "address_2": "SUITE101",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630212042",
            "telephone_number": "636-256-7800",
            "fax_number": "636-394-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KOETTING ASSOCIATES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE KOETTING ASSOCIATES INC.",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "CASTELLANO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "314-863-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center of West County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellisville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.