MASSIE OPTOMETRY PC (NPI# 1255675740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255675740 |
| Entity Type | Organization |
| Organization Name | MASSIE OPTOMETRY PC |
| Other Organization Name | PERFORMANCE EYECARE |
| Practice Address |
12536 B Olive Blvd St Louis MO 63141 |
| Mailing Address |
4111 N Illinois St Swansea IL 62226-7609 |
| Practice Telephone | 6182343053 |
| Practice Fax Number | 6182346331 |
| Mailing Telephone | 6182343053 |
| Mailing Fax Number | 6182346331 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2013-03-28 |
| Authorized Official Name | DR. DIRK F MASSIE (PRESIDENT) |
| Authorized Official Telephone | 6182343053 |
| Authorized Official Credential | OD |
| Is Organization Subpart | Y |
| Parent Organization Name | PERFORMANCE EYECARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2002005316 | MO | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| PERFORMANCE EYECARE | Doing Business As Name - Organization |
| Street Address |
12536 B OLIVE BLVD |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891837977 | Kathy Anderson | Optometrist | 122 Tenholder Plaza, South County Centerway, St Louis, MO 63129 | 2007-02-13 |
| 1518027531 | Michael J Herr | Optometrist | 122 South County Centerway, Ste A Tenholder Plaza, St Louis, MO 63129 | 2006-12-11 |
| 1255402624 | Paul Arthur Lapoint | Optometrist | 11611 Gravois Road, St Louis, MO 63126 | 2006-11-10 |
| 1043251150 | Michael L Wolf | Optometrist | 111 Cliff Cave Road, Suite 100, St Louis, MO 63129 | 2006-06-09 |
| 1366421158 | Barbara A Aalbers | Optometrist | 621 South New Ballas Rd, Suite 7a, St Louis, MO 63141 | 2006-01-11 |
| 1265039143 | Fei Fu | Optometrist | 7840 Natural Bridge Rd, Patient Care Center, St Louis, MO 63121 | 2020-10-05 |
| 1598319196 | James H Seals Peter B Tacia & Tad J Bartz Od PC | Optometrist | 235 N Mill St, St Louis, MI 48880 | 2019-07-31 |
| 1285294892 | Matthew K Lee | Optometrist | 7840 Natural Bridge Blvd, Patient Care Center, St Louis, MO 63121 | 2019-06-17 |
| 1447774047 | Coral Pucci | Optometrist | 7840 Natural Bridge Blvd, Patient Care Center, St Louis, MO 63121 | 2017-07-26 |
| 1306221049 | Brittany Lynn Wright | Optometrist | 7840 Natural Bridge Rd, Patient Care Center, St Louis, MO 63121 | 2015-07-23 |
| Find all providers in ST LOUIS | ||||
Please comment or provide details below to improve the information on MASSIE OPTOMETRY PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.