Janet L Collier, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03317 Issued in MO

Practice address

730 S Kirkwood Rd
Kirkwood, MO 63122-5929

Phone

(314) 821-2626

NPI assigned

Aug 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Janet L Provencal Former name

Medicare fee-for-service enrollment

Enrolled in MO, ID2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Eyecare Associates of Nampa PAGroup PAC ID 0244238004, 6 clinicians

Eyecare Associates of Eastgate PAGroup PAC ID 7911063409, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

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

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

• Eyecare Associates of Eastgate PA

  • Eyewear Supplier
  • Boise, ID
  • NPI 1265589048
  Medicare reassignment Care Compare group NPD
• Eyecare Associates of Nampa PA

  • Optometrist
  • Nampa, ID
  • NPI 1134204100
  Medicare reassignment Care Compare group NPD
• Clarkson Optometry, Inc

  • Optometrist
  • Ellisville, MO
  • NPI 1497155345
  Medicare reassignment
• St. Louis Eye Clinic

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1366555690
  NPD (past)
• St. Louis Eye Clinic

  • Glaucoma Specialist (Ophthalmology) Physician
  • Saint Louis, MO
  • NPI 1629105259
  NPD (past)
• Hollingshead Eye Center, PC

  • Ophthalmology Physician
  • Boise, ID
  • NPI 1871643585

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1982606695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD",
            "address_2": "STE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "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": "730 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225929",
            "telephone_number": "314-821-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "JANET",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318609823",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "PROVENCAL",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• City of Kirkwood
• Anna Christine Clark, RBT
• Clarkson Optometry Inc
• Mike Kurel Cockson, LPC
• Cynthia June Coffman, CCC-SLP
• Cara Conde, MA, LPC
• Steven R Connelly, DMD
• Nancy Rumsey Cooksey, BSN, RN
• Cooperative Therapy LLC
• Jacquelynn Cornell, P.T.

• Optometrist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.