Eye Care Vision Center II Inc Erkers Kirkwood

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

T02593 Issued in MO

Legal business name

EYE CARE VISION CENTER II INC ERKERS KIRKWOOD

Practice address

124 W Jefferson Ave
Suite 106
Kirkwood, MO 63122-4064

Phone

(314) 966-8587

Fax

(314) 966-0650

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter M Gubany, O.D.

Title

Owner

Phone

(314) 966-8587

Specialties & licenses 1

Addresses

Other names 1

• Erkers Kirkwood Doing business as

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1972738862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W JEFFERSON AVE",
            "address_2": "SUITE 106",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224064",
            "telephone_number": "314-966-8587",
            "fax_number": "314-966-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W JEFFERSON AVE",
            "address_2": "SUITE 106",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224064",
            "telephone_number": "314-966-8587",
            "fax_number": "314-966-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE VISION CENTER II INC ERKERS KIRKWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "GUBANY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-966-8587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "T02593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erkers Kirkwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylie Elliott, PHARM D.
• Emily Barks DC, LLC
• Susan Amy Englund, PH D
• Michael Erlenbush
• Breanne Alexis Eversgerd, RBT
• Kathryn M Fabbiano, P.T.
• Reva Faber, LPC
• Caitlin D Fahrner, LPC
• Mary Melissa Fasoldt, LPC
• James Feinberg, PH.D.

• Preferred Provider Organization in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Preferred Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.