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DR. RAYMOND FADA JR. O.D.
NPI 1013913094
Optometrist in Saint Peters, MO

Active since June 23, 2005
6157 MID RIVERS MALL DR, 202, SAINT PETERS, MO 63304(636) 926-3647(636) 926-3684 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Raymond Fada Jr. O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAYMOND FADA JR. O.D. (NPI 1013913094) is an individual optometrist in Saint Peters, Missouri, licensed in Missouri (T02848) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1013913094
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RAYMOND FADA JR.Credential: O.D.
Location Address6157 MID RIVERS MALL DR, 202Saint Peters, MO 63304-1105
Mailing Address40 E North StEureka, MO 63025-1205 · (636) 200-4393 · Fax (636) 938-2650
Phone(636) 926-3647
Fax(636) 926-3684
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateNovember 18, 2014
✔ NPI 1013913094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · T02848
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.
6157 MID RIVERS MALL DR, Saint Peters, MO 63304
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Other Identifiers 5

Medicare UPINT92391
Medicare PIN009006438MO
Medicare UPINMA5227021MO
Other410035943MO · Railroad Medicare
Medicaid3180812005MO

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAMELA COSLICK O.D.
Optometrist
6157 MID RIVERS MALL DR
SAINT PETERS, MO 63304
St. Charles County (636) 926-3647
BLAIRE SHAREE O'BRIEN O.D.
Optometrist
6157 MID RIVERS MALL DR
SAINT PETERS, MO 63304
St. Charles County (636) 926-3647
ARIC JOSEPH WALTZ OD
Optometrist
6157 MID RIVERS MALL DR
SAINT PETERS, MO 63304
St. Charles County (636) 200-4393
CLARKSON OPTOMETRY INC
Optometrist
6157 MID RIVERS MALL DR
SAINT PETERS, MO 63304
St. Charles County (636) 200-4393
CLAIRE ELIZABETH THAYER OD
Optometrist
6157 MID RIVERS MALL DR
SAINT PETERS, MO 63304
St. Charles County (636) 926-3647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymond Fada's NPI number?

The NPI number for Raymond Fada is 1013913094. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Raymond Fada located?

Raymond Fada practices at 6157 Mid Rivers Mall Dr 202, Saint Peters, MO 63304. The listed phone number is (636) 926-3647.

What is Raymond Fada's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Raymond Fada was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.