DR. ELISABETH D KNIBB


Address: 4200 Rusty Rd, Saint Louis, MO 63128-1973
Phone: 3148947951

DR. ELISABETH D KNIBB (NPI# 1912278060) 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) 1912278060
Entity Type Individual
Full Name DR. ELISABETH D KNIBB
Credential O.D.
Practice Address 4200 Rusty Rd
Saint Louis
MO 63128-1973
Mailing Address 8 Blackwolf Run Ct
Wildwood
MO 63040-1570
Practice Telephone 3148947951
Mailing Telephone 6362364824
Enumeration Date 2012-01-21
Last Update Date 2012-01-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 2003017172 MO Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO MISSOURI STATE LICENSE NUMBER 2003017172 01

Office Location

Street Address 4200 RUSTY RD
City SAINT LOUIS
State MO
Zip Code 63128-1973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689680886 Michael Walter Kline Optometrist 4200 Rusty Rd, Saint Louis, MO 63128-1973 2006-07-31
1558756429 Costco Wholesale Corporation Hearing Aid Equipment 4200 Rusty Rd, Saint Louis, MO 63128-1973 2015-03-30
1497146476 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 4200 Rusty Rd, Saint Louis, MO 63128-1973 2015-02-11
1265799571 Summer L Cajigal Pharmacist 4200 Rusty Rd, Saint Louis, MO 63128-1973 2012-04-12
1134494867 Sarah Essner Pharmacist 4200 Rusty Rd, Saint Louis, MO 63128-1973 2012-03-13
1235427576 Stacy L Scatcherd Pharmacist 4200 Rusty Rd, Saint Louis, MO 63128-1973 2011-07-20
1952691610 Mark J Hogan Pharmacist 4200 Rusty Rd, Saint Louis, MO 63128-1973 2011-04-15
1730299355 Costco Wholesale Corporation Pharmacy 4200 Rusty Rd, Saint Louis, MO 63128 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1326504655 Nikodem Dental Holdings Dentist 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 2019-02-12
1932678505 Michelle Anne Arvidson Physical Therapy Assistant Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 2018-11-13
1245726710 Kristen Rider Nurse Practitioner 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 2018-07-07
1306217427 Sophia Bednarski Dentist 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 2015-10-15
1427434224 Darcie Burrus Counselor 12523 Old Tesson Rd G, St Louis, MO 63128 2015-08-04
1710368584 Sara Hawatmeh Internal Medicine 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 2015-06-17
1871989590 Celia Grace Montes-kolence Speech-Language Pathologist 12335 W Bend Drive, Saint Louis, MO 63128 2015-04-09
1245629302 Marius Antonio Evans Dentist 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 2015-01-13
1801230313 Sarah Elizabeth Walsh Emergency Medicine 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 2013-04-26
Find all providers in zip 63128

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194379115 Zhenzhen Gao Optometrist 4531 Mcpherson Ave Apt 203, Saint Louis, MO 63108-1959 2019-07-29
1114579554 Naba Razi Khan Optometrist 9924 Kennerly Rd, Saint Louis, MO 63128-2704 2019-07-16
1164083143 Sara Taylor Optometrist 522 N New Ballas Rd Ste 113, Saint Louis, MO 63141-6820 2019-06-21
1891358115 Essential Eyecare, LLC Optometrist 7256 Pershing Ave Unit B, Saint Louis, MO 63130-4248 2019-04-22
1720517386 Morgan Rebecca Poore Optometrist 555 N New Ballas Rd Ste 310, Saint Louis, MO 63141-6896 2017-06-07
1699157735 Katherine Gettinger Optometrist 28 Maryland Plz, Saint Louis, MO 63108-1526 2015-06-25
1083096523 Courtney Anne Stehlin Optometrist 122 S County Center Way, Saint Louis, MO 63129-1092 2015-06-21
1861836777 Clarkson Optometry Inc Optometrist 3192 S Grand Blvd, Saint Louis, MO 63118-1025 2013-04-22
1790026540 Clarkson Optometry Inc Optometrist 5632 Telegraph Rd # A, Saint Louis, MO 63129-4243 2013-03-04
1538423769 Mark Alan Wilkins Optometrist 5632 Telegraph Rd, Suite A, Saint Louis, MO 63129-4243 2012-07-03
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63128

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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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