Ophthalmology Consultants, Llc | |
12990 Manchester Rd Ste 201, Des Peres, MO 63131-1860 | |
(314) 909-0633 | |
(314) 569-0864 |
Full Name | Ophthalmology Consultants, Llc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 12990 Manchester Rd Ste 201, Des Peres, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508899543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Steven F Lee |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1134118482 PECOS PAC ID: 3971409038 Enrollment ID: I20031209001058 |
Provider Name | Erin C Sullivan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205825080 PECOS PAC ID: 8123913571 Enrollment ID: I20040216001100 |
Provider Name | Byron A Santos Flores |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1740307354 PECOS PAC ID: 6608825740 Enrollment ID: I20050117000012 |
Provider Name | Joseph Gira |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1861481152 PECOS PAC ID: 1759346562 Enrollment ID: I20051230000081 |
Provider Name | Josh E Amato |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1467401828 PECOS PAC ID: 2062487341 Enrollment ID: I20060712000355 |
Provider Name | Michael P Donahoe |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770572067 PECOS PAC ID: 4486619202 Enrollment ID: I20070518000089 |
Provider Name | Senthil Krishnasamy |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548250202 PECOS PAC ID: 5799750402 Enrollment ID: I20080424000664 |
Provider Name | Robert C Brusatti |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568460723 PECOS PAC ID: 6709944796 Enrollment ID: I20081020000514 |
Provider Name | Craig H Sorce |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861520819 PECOS PAC ID: 0244373587 Enrollment ID: I20100208000811 |
Provider Name | John C Galanis |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1215921069 PECOS PAC ID: 5698865434 Enrollment ID: I20100322000274 |
Provider Name | Gregg Jonathan Berdy |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1376541540 PECOS PAC ID: 4880799865 Enrollment ID: I20100802000993 |
Provider Name | Ranjan Prakash Malhotra |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1396743555 PECOS PAC ID: 0143325126 Enrollment ID: I20100802001010 |
Provider Name | Roberta Crawford |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871689349 PECOS PAC ID: 5597973917 Enrollment ID: I20101109000743 |
Provider Name | Mark R Barlow |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710974183 PECOS PAC ID: 7012047863 Enrollment ID: I20130531000504 |
Provider Name | Sweta Kavali |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1669673067 PECOS PAC ID: 6305088196 Enrollment ID: I20130827000141 |
Provider Name | Michelle Derheimer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265873475 PECOS PAC ID: 7719120286 Enrollment ID: I20130830000772 |
Provider Name | Andrew P Royer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255435657 PECOS PAC ID: 1355362823 Enrollment ID: I20140527001454 |
Provider Name | Wesley C Green |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851736037 PECOS PAC ID: 6406076850 Enrollment ID: I20170619001384 |
Provider Name | Amy Molina |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134591571 PECOS PAC ID: 9931591849 Enrollment ID: I20220808001801 |
Provider Name | Craig R Thiessen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932555919 PECOS PAC ID: 2062702624 Enrollment ID: I20221216002087 |
Provider Name | Samuel Barry |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1275039877 PECOS PAC ID: 0648659151 Enrollment ID: I20230623001339 |
Provider Name | Mostafa Mazen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1497284731 PECOS PAC ID: 3779829403 Enrollment ID: I20231109002219 |
Provider Name | Nicholas Ranson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790783041 PECOS PAC ID: 8022008853 Enrollment ID: I20240409001801 |
Mailing Address | Practice Location Address |
---|---|
Ophthalmology Consultants, Llc 12990 Manchester Rd Ste 201, Des Peres, MO 63131-1860 Ph: (314) 909-0633 | Ophthalmology Consultants, Llc 12990 Manchester Rd Ste 201, Des Peres, MO 63131-1860 Ph: (314) 909-0633 |