FONTANA EYECARE ASSOCIATES, LLC. (NPI# 1770664625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770664625 |
| Entity Type | Organization |
| Organization Name | FONTANA EYECARE ASSOCIATES, LLC. |
| Practice Address |
16 Hampton Village Plz Suite 249 Saint Louis MO 63109-2128 |
| Practice Telephone | 3143536171 |
| Mailing Telephone | 3143536171 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | PAUL DOUGLAS BECHERER (MANAGER) |
| Authorized Official Telephone | 3143536171 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
T02260 | MO | Eye and Vision Services Providers |
| Street Address |
16 HAMPTON VILLAGE PLZ SUITE 249 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963701 | Stephen F Bowen Jr. | Ophthalmology | 16 Hampton Village Plz, Ste 267, Saint Louis, MO 63109-2128 | 2005-06-22 |
| 1376958777 | Lindsay Lococo | Dentist | 16 Hampton Village Plz, Suite 212, Saint Louis, MO 63109-2128 | 2014-06-24 |
| 1174944011 | Premium Vision Solutions, LLC | Optometrist | 16 Hampton Village Plz, Suite 249, Saint Louis, MO 63109-2128 | 2013-12-19 |
| 1861735268 | Kyle Palmer | Dentist | 16 Hampton Village Plz, Suite 229, Saint Louis, MO 63109-2128 | 2013-04-03 |
| 1083888648 | Jeremy Alan Pfeffer | Dentist | 16 Hampton Village Plz, Suite #229, Saint Louis, MO 63109-2128 | 2008-04-15 |
| 1720252398 | Harold F. Waxman Inc | Dentist | 16 Hampton Village Plz, Suite #229, Saint Louis, MO 63109-2128 | 2008-04-15 |
| 1538359526 | Robert J. Hellmannn, Jr. D.m.d. Inc. | Dentist | 16 Hampton Village Plz, Ste. 212, Saint Louis, MO 63109-2128 | 2007-07-26 |
| 1275745721 | Harlan J. Wilson, D.d.s., P.C. | Dentist | 16 Hampton Village Plz, Ste. 278, Saint Louis, MO 63109-2128 | 2007-05-05 |
| 1023146222 | Steven A Franz | Dentist | 16 Hampton Village Plz, Suite 284, Saint Louis, MO 63109-2128 | 2007-03-01 |
| 1639230204 | Carrie L Barnhart | Dentist | 16 Hampton Village Plz, Ste 207, Saint Louis, MO 63109-2128 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508086166 | Marlin B Neil | Optometrist | 12312 Olive Blvd Ste 150, Saint Louis, MO 63141-5468 | 2007-04-26 |
| 1588722748 | Morio Miyamoto | Optometrist | 720 Olive St, Suite 420, Saint Louis, MO 63101-2338 | 2006-12-04 |
| 1295371946 | Pec South County LLC | Optometrist | 4412 Telegraph Rd, Saint Louis, MO 63129-3316 | 2019-11-18 |
| 1952725210 | Altenbernd Family Eye Care, LLC | Optometrist | 5445 Telegraph Rd, Suite 119, Saint Louis, MO 63129-3500 | 2014-02-06 |
| 1124037320 | Thebe Bagwasi | Optometrist | 3270 Telegraph Rd, Saint Louis, MO 63125-5565 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1659421303 | Ira Nathan Ettinger | Optometrist | 1701 Aroy Dr., Washington, MO 63090 | 2007-01-12 |
| 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 |
| 1144262536 | Gerald Robert Gosnell | Optometrist | 4631 Wyandotte, Kansas City, MO 64112-1542 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
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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.