Patrick Stark, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2015014189 Issued in MO

Practice address

7840 Natural Bridge Blvd
Patient Care Center
Saint Louis, MO 63121-4617

Phone

(314) 516-5131

NPI assigned

Jul 24, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Curators of the University of Missouri 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Curators of the University of Missouri

  • Optometrist
  • Saint Louis, MO
  • NPI 1679664718

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Curators of the University of Missouri

  • Optometrist
  • Saint Louis, MO
  • NPI 1922190198

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Affinia Healthcare

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1902816077

  MO

  Medicare reassignment NPD
• Carestl Health

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1376685529

  MO

  Medicare reassignment NPD
• Curators of the University of Missouri

  • Rehabilitation Hospital Unit
  • Jefferson City, MO
  • NPI 1134901812
  Care Compare group
• Curators of the University of Missouri

  • Community/Retail Pharmacy
  • Columbia, MO
  • NPI 1316040330
  Care Compare group
• Curators of the University of Missouri

  • Community/Retail Pharmacy
  • Columbia, MO
  • NPI 1316931546
  Care Compare group
• Curators of the University of Missouri

  • Community/Retail Pharmacy
  • Columbia, MO
  • NPI 1427645613
  Care Compare group
• Curators of the University of Missouri

  • Psychiatric Hospital Unit
  • Columbia, MO
  • NPI 1598993503
  Care Compare group
• Curators of the University of Missouri

  • Community/Retail Pharmacy
  • Columbia, MO
  • NPI 1699374629
  Care Compare group
• Curators of the University of Missouri

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1699769901
  Care Compare group
• Curators of the University of Missouri

  • Community/Retail Pharmacy
  • Columbia, MO
  • NPI 1750375986
  Care Compare group

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1982950267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "address_2": "PATIENT CARE CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214400",
            "telephone_number": "314-516-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 NATURAL BRIDGE BLVD",
            "address_2": "PATIENT CARE CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214617",
            "telephone_number": "314-516-5131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3940 Lindell Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083204",
            "country_code": "US",
            "telephone_number": "314-516-5013",
            "fax_number": "314-535-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2753",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2015014189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Michael Starenchak, MD
• Amy J. Stark, LCSW
• Jennifer Stark, FNP-BC
• Joy Miriam Stark, RN, CPNP
• Lauren Nicole Stark, DO
• Susan Stark
• Joseph Robert Starke Jr., D.O.
• Justin Keith Starke, M.D.
• Keith M. Starke, M.D.
• Bettye Starkey

• All providers in Saint Louis, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.