Cherry Hills Family Eye Care, L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO3447 Issued in MO

Legal business name

CHERRY HILLS FAMILY EYE CARE, L.L.C.

Practice address

16508 Manchester Rd
Wildwood, MO 63040-1217

Phone

(636) 273-6336

Fax

(636) 273-9172

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Paul Prange, O.D.NPI 1053352559

Title

Owner

Phone

(636) 273-6336

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Paul Prange, O.D.

  • Optometrist
  • Wildwood, MO
  • NPI 1053352559

  MO

  Medicare reassignment Care Compare group Authorized official
• Lauren Dermody Falconer, OD

  • Optometrist
  • Wildwood, MO
  • NPI 1447825203

  MO

  Medicare reassignment Care Compare group
• Jason T Riley, O.D.

  • Optometrist
  • Sullivan, MO
  • NPI 1477752053

  MO

  Medicare reassignment Care Compare group
• Kerry Anne Young, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1144381690

  MO

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1992742498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16508 MANCHESTER RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401217",
            "telephone_number": "636-273-6336",
            "fax_number": "636-273-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16508 MANCHESTER RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401217",
            "telephone_number": "636-273-6336",
            "fax_number": "636-273-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILLS FAMILY EYE CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "PRANGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-273-6336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318816204",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Carney, MD
• Katherine Carvalho, BCBA
• Michelle Caulk, PHD, LMHC, LPC,
• Charic Dr Healthcare LLC
• Cherry Hills Dental Group Inc
• John Nicholas Chiapel, D.D.S.
• Chiropractic of Wildwood, LLC
• Hannah Chism, LPC
• Glennia J Chitwood, D.C.
• Chung Wei Chiu-Begemann, MPT

• All providers in Wildwood, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.