COMPLETE EYE CARE, INC. (NPI# 1275539173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275539173 |
| Entity Type | Organization |
| Organization Name | COMPLETE EYE CARE, INC. |
| Other Organization Name | CLINICAL OPHTHALMOLOGY, INC. |
| Practice Address |
9890 Clayton Rd Suite 200 Saint Louis MO 63124-1685 |
| Practice Telephone | 3143959613 |
| Practice Fax Number | 3143959621 |
| Mailing Telephone | 3143959613 |
| Mailing Fax Number | 3143959621 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2019-12-24 |
| Authorized Official Name | LISA JEAN TYCHSEN (OFFICE MANAGER) |
| Authorized Official Telephone | 3143959613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinical Ophthalmology, Inc. | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 Hunter Ave Ste 102, Saint Louis, MO 631242082 | 3147211140 | 3147217703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821472960 | Complete Eye Care, Inc. | Ophthalmology | 500 Nw 20th St Ste 100, Gresham, OR 97030-2442 | 2015-07-18 |
| 1225222151 | Complete Eye Care, Inc. | Optometrist | 11480 Sheridan Blvd Ste 100, Westminster, CO 80020-3347 | 2007-09-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMPLETE EYE CARE, INC. | 500 Nw 20th St #100, Gresham, OR 97030 |
| Street Address |
9890 CLAYTON RD SUITE 200 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63124-1685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477172203 | Julia Anne Katzman | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2020-04-12 |
| 1740840883 | Shelby Banach | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2019-06-20 |
| 1932609302 | Hayley Lynn Summe | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2018-02-12 |
| 1427577733 | Tina Villalobos | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2017-09-18 |
| 1568993137 | Madeline Goodwill | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2017-03-24 |
| 1861943953 | Clayton Behavioral | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2016-10-24 |
| 1700336294 | Clayton Behavioral | Student in an Organized Health Care Education/Training Program | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2016-10-07 |
| 1992155923 | Paul Duy Luong | Optometrist | 9890 Clayton Rd, Suite 200, Saint Louis, MO 63124-1685 | 2016-06-21 |
| 1992155006 | St. Louis Therapeutic Alliance LLC | Community/Behavioral Health | 9890 Clayton Rd, Suite 127, Saint Louis, MO 63124-1685 | 2016-06-20 |
| 1588029557 | Melissa Franolich | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2015-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1740669373 | Victor's Home Care Cds, LLC | Hospice Care, Community Based | 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 | 2015-05-28 |
| 1851784490 | Bryan Watanabe Dds Ladue Dental Group, PC | Dentist | 8859 Ladue Road, Ladue, MO 63124 | 2015-03-06 |
| 1689072324 | Ladue Internal Medicine, LLC | Internal Medicine | 8857 A Ladue Rd., Ladue, MO 63124 | 2014-12-11 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1295099638 | David Stuart Sonderman | Pediatrics | 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 | 2012-06-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| Find all providers in zip 63124 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790265759 | Washington University | Ophthalmology | 4901 Forest Park Ave # 8221, Saint Louis, MO 63108-1495 | 2018-08-20 |
| 1184038986 | Grace L Paley | Ophthalmology | 621 S New Ballas Rd Ste 5006b, Saint Louis, MO 63141-8270 | 2014-06-19 |
| 1992140958 | Andrew Robert Lee | Ophthalmology | 660 S Euclid Ave # 8096, Saint Louis, MO 63110-1010 | 2013-05-03 |
| 1083941488 | William Steven Joffe | Ophthalmology | 4912 Mcpherson Ave, Saint Louis, MO 63108-1608 | 2009-11-06 |
| 1033349741 | Nancy Buchser | Ophthalmology | 4921 Parkview Pl Ste 14f, Saint Louis, MO 63110-1032 | 2009-07-16 |
| 1730316449 | Augustine Richard Hong | Ophthalmology | 5201 Mid America Plz Ste 2500, Ste 2500, Saint Louis, MO 63129-0002 | 2009-06-20 |
| 1548470032 | Fe Poblete Fuentes | Ophthalmology | 84 Grasso Plz, Saint Louis, MO 63123-3108 | 2007-05-23 |
| 1255543047 | Malaz Safi, M.d., P.C. | Ophthalmology | 8790 Watson Rd Ste 203, Saint Louis, MO 63119-5140 | 2007-05-04 |
| 1063535623 | Therese M Alban | Ophthalmology | 12395 Olive Blvd, Suite 301, Saint Louis, MO 63141-5462 | 2007-04-09 |
| 1902924368 | Eye Specialists of West County, P.C. | Ophthalmology | 777 S New Ballas Rd Ste 218e, Saint Louis, MO 63141-8718 | 2007-03-26 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63124 |
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| 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.