OPHTHALMOLOGY ASSOCIATES
NPI 1003960980
Ophthalmology in Saint Louis, MO
NPI Status: Active since January 22, 2007
Contact Information
12990 MANCHESTER RD
SUITE 200
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 966-5000
Fax: (314) 909-6666
- Organization
- Ophthalmology
- Accepts Insurance
- CLIA Number: 26D2060446
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-30-2026
About OPHTHALMOLOGY ASSOCIATES
This page provides the complete NPI Profile along with additional information for Ophthalmology Associates, a provider established in Saint Louis, Missouri operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1003960980 assigned on January 2007. The practitioner's primary taxonomy code is 207W00000X with license number R1E17 (MO). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Ophthalmology Associates. The authorized official of this NPI record is Joseph Pravoot Gira (Cmo)
- NPI
- 1003960980
- Provider Legal Name
- OPHTHALMOLOGY CONSULTANTS, LLC
- Other Organization Name
- OPHTHALMOLOGY ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12990 MANCHESTER RD SUITE 200 SAINT LOUIS, MO 63131
- Location Phone
- (314) 966-5000
- Location Fax
- (314) 909-6666
- Mailing Address
- 12990 MANCHESTER RD SUITE 200 SAINT LOUIS, MO 63131
- Mailing Phone
- (314) 966-5000
- Mailing Fax
- (314) 909-6666
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-22-2007
- Last Update Date
- 12-22-2022
- Code Navigator
Ophthalmologists like Ophthalmology Associates specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R1E17
- License State
- MO
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Catastrophic Pathway (+ Incentives) - EPO
- Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Simple Diabetes - EPO
- Gold Classic Standard - EPO
- Gold Simple - EPO
- Silver Classic Standard - EPO
- Silver Elite Saver Plus - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
- Silver Simple Women's Health with Menopause Benefits - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2060446
- Facility Type
- Physician Office
- Certificate Effective Date
- December 01, 2024
- Certificate Expiration Date
- November 30, 2026
- Laboratory Director
- ROBERT BRUSATTI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ophthalmology Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for OPHTHALMOLOGY ASSOCIATES
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003960980, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
DES PERES, MO 63131
DES PERES, MO 63131
DES PERES, MO 63131
DES PERES, MO 63131
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003960980, enumerated as an "organization" on January 22, 2007.
The provider is located at 12990 MANCHESTER RD SUITE 200 SAINT LOUIS, MO 63131 and the phone number is (314) 966-5000.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Oscar. Please consult your insurance carrier or call the provider to verify.
