NPIMap

Organization Active NPI

Four Circles Vision Therapy

  • Clinic/Center
  • O Fallon, MO
National Provider Identifier
1992442214
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FOUR CIRCLES VISION THERAPY
Practice address
3449 Pheasant Meadow Dr Ste 100
O Fallon, MO 63368-7364
Phone
(636) 294-3197
Fax
(855) 812-9227
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Jeffrey James Lant, ODNPI 1710241583
Title
Managing Member
Phone
(636) 294-3197

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3449 Pheasant Meadow Dr Ste 100
O Fallon, MO 63368-7364

Mailing address

3449 Pheasant Meadow Dr Ste 100
O Fallon, MO 63368-7364
Phone (636) 294-3197

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@fourcirclesvision.com Direct

National Provider Directory

National Provider Directory

Locations

3449 Pheasant Meadow Dr
Ste 100
O Fallon, MO 63368
Phone (636) 397-4012

Practitioners & affiliated clinicians

Practitioners 1

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": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1992442214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 PHEASANT MEADOW DR STE 100",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687364",
            "telephone_number": "636-294-3197",
            "fax_number": "855-812-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 PHEASANT MEADOW DR STE 100",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687364",
            "telephone_number": "636-294-3197",
            "fax_number": "855-812-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CIRCLES VISION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "LANT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "636-294-3197",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@fourcirclesvision.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3449 Pheasant Meadow Dr Ste 100",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633687364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.