DR. IRA NATHAN ETTINGER


Address: 1701 Aroy Dr., Washington, MO 63090
Phone: 6363903285

DR. IRA NATHAN ETTINGER (NPI# 1659421303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659421303
Entity Type Individual
Full Name DR. IRA NATHAN ETTINGER
Credential O.D.
Practice Address 1701 Aroy Dr.
Washington
MO 63090
Mailing Address 1229 Wissmann Dr
Ballwin
MO 63011-4362
Practice Telephone 6363903285
Mailing Telephone 6362273067
Enumeration Date 2007-01-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WC0802X Optometrist
Specialization: Corneal and Contact Management
T02543 MO Eye and Vision Services Providers

Office Location

Street Address 1701 AROY DR.
City WASHINGTON
State MO
Zip Code 63090

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831798792 Alicia Caroline Baker Nurse Practitioner 1070 W 7th St, Washington, MO 63090 2020-10-21
1962975839 Jennifer Biermann Pharmacist 801 E 5th Street, Washington, MO 63090 2019-01-03
1487199733 Kristen Elaine Cleavelin Registered Nurse Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 2016-12-22
1699146712 Washington Community Counseling Center Community/Behavioral Health 421 W. 5th Street, Suite 110, Washington, MO 63090 2015-10-15
1598002024 Americare At Vicotrian Manor of Washington, LLC Assisted Living Facility 2701 Rabbit Trail Dr, Washington, MO 63090 2013-01-03
1578824116 Rhonda Ann Pepmiller Nurse Practitioner 851 E 5th St Ste 309, Washington, MO 63090 2012-05-30
1932486032 Julie Joanne Lynch Pharmacist 890 Country Corners, Washington, MO 63090 2011-11-03
1043590839 Laurie Elizabeth Bryson Counselor 102 Elm Street, Suite 204, Washington, MO 63090 2011-08-24
1164737490 Mohan Mallikarjuna Edupuganti Internal Medicine 901 Patients First Dr Ste 2500, Washington, MO 63090 2010-08-11
1154640225 Nicholas W Frederickson Internal Medicine 901 Patients First Drive Suite 3300, Washington, MO 63090 2010-05-27
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Taxonomy Information

Taxonomy Code 152WC0802X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Corneal and Contact Management

Taxonomy Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982739835 Don H. Vater Optometrist 1720 Connecticut Ave Nw, Washington, DC 20009-1103 2007-02-22
1194825836 Washington Eye Care PC Optometrist 8703 26 Mile Rd, Washington, MI 48094-2967 2006-09-23
1801826656 Richard S Simon Optometrist 2021 L St Nw, Washington, DC 20036-4909 2006-07-04
1912972332 Michael Paul Rosenblatt Optometrist 900 17th St Nw, Suite 400, Washington, DC 20006-2501 2006-02-20
1447535299 Tommie Lee. O.d.,p.a. Optometrist 1304 G St Nw, Washington, DC 20005-3004 2011-10-12
1033340435 Metropolitan Eye Associates, Pllc Optometrist 3301 New Mexico Ave Nw, Suite 216, Washington, DC 20016-3622 2009-08-03
1609868140 Charles E. Bruce Optometrist 901 E 3rd St, Washington, MO 63090-3010 2005-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508086166 Marlin B Neil Optometrist 12312 Olive Blvd Ste 150, Saint Louis, MO 63141-5468 2007-04-26
1114056231 Kevin Greeley Lydon Optometrist 6764 Mexico Rd, Saint Peters, MO 63376-1505 2007-03-05
1184759284 Ralph Melvin Butler Optometrist 401 Supercenter Dr, Walmart Vision Center, Jefferson City, MO 65101-8190 2007-02-22
1972645919 Thomas Stanley Sandler Optometrist Jc Penney Optical, 4 Mid Rivers Mall Drive, St. Peters, MO 63376 2007-02-13
1811039910 Rick Jon Unsell Optometrist 7436 Nw River Park Dr, Parkville, MO 64152-5028 2007-02-13
1588722748 Morio Miyamoto Optometrist 720 Olive St, Suite 420, Saint Louis, MO 63101-2338 2006-12-04
1578649547 Lawrence Allen Aurich Optometrist 12420 So. 71 Highway, Grandview, MO 64030 2006-10-31
1093823924 Jeffrey Donald Laferla Optometrist 8301 N Congress Ave, Kansas City, MO 64152-2041 2006-08-29
1356454060 Frank Joseph Bier Optometrist 14037 Manchester Rd, Manchester, MO 63011-4513 2006-08-16
1548206576 William H Gosnell Optometrist 17950 E 39th St S, Independence, MO 64055-3850 2006-06-20
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Competitor

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City WASHINGTON
Zip Code 63090

Improve Information

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Dataset Information

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.

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