Individual provider Active NPI

Janet Graf, O.D.

  • Optometrist
  • Brentwood, MO
National Provider Identifier
1972509883
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03136 Issued in MO
Practice address
8562-66 Eager Rd.
Brentwood, MO 63144
Phone
(314) 785-7272
Fax
(314) 785-0519
NPI assigned
Jun 24, 2005
Last updated
Oct 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03136 MO Primary

Addresses

Primary practice location

8562-66 Eager Rd.
Brentwood, MO 63144

Mailing address

40 E North St
Eureka, MO 63025-1205
Phone (636) 200-4393

Other names 1

  • Dr. Janet Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000219 MO Practitioner - Optometry 3779537337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry IncGroup PAC ID 0840411799, 82 clinicians

Practice addresses (Care Compare)

3122 S Grand Blvd
The Spec Shoppe
St Louis, MO 63118-1012
Phone (314) 450-7313

8562 Eager Rd
Suite 66
Brentwood, MO 63144-1435
Phone (314) 785-7272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry, Inc Optometrist CurrentSince Aug 20, 2014 Accepting new patients
Clarkson Optometry Inc Optometrist CurrentSince Aug 20, 2014 Accepting new patients
Clarkson Eyecare Optometrist Past Accepting new patients
Ophthalmology Consultants, LLC Past Accepting new patients

Locations

330 W Osage St
Pacific, MO 63069
Phone (636) 271-4500

11433 Olive Blvd
Saint Louis, MO 63141
Phone (314) 432-1134

3122 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 450-7313

8658 Big Bend Blvd
Webster Groves, MO 63119
Phone (314) 962-3830

Interoperability endpoints

  • Direct secure messaging: janetgraf@direct.eyecare-partners.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1972509883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E NORTH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251205",
            "telephone_number": "636-200-4393",
            "fax_number": "636-938-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8562-66 EAGER RD.",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "63144",
            "telephone_number": "314-785-7272",
            "fax_number": "314-785-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF",
        "first_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "SMITH",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, MO

Sources for this page

Verify at the official NPI Registry.