ST. LOUIS EYE CLINIC
NPI 1104953660
Clinic/Center - Ophthalmologic Surgery in Saint Louis, MO

Active since February 28, 2007
12818 TESSON FERRY RD STE 102&104, SAINT LOUIS, MO 63128(314) 352-9800(314) 352-4290 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Jun 2, 2025 (2 updates tracked since 2025).

About St. Louis Eye Clinic NPPES

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

ST. LOUIS EYE CLINIC (NPI 1104953660) is a healthcare organization registered as an ophthalmologic surgery in Saint Louis, Missouri and active in the NPI registry since February 2007. The organization lists Elizabeth Deborah Kutz, Billing & Credential Manager, as its authorized official.

NPPES Registry Identity

NPI1104953660
Entity TypeOrganization
Primary Taxonomy261QS0132X
Legal Business NameST. LOUIS EYE CLINIC
Location Address12818 TESSON FERRY RD STE 102&104Saint Louis, MO 63128-2613
Mailing Address12818 Tesson Ferry Rd Ste 102&104Saint Louis, MO 63128-2613 · (314) 352-9800 · Fax (314) 352-4290
Fax(314) 352-4290
Organization SubpartNo
Authorized OfficialElizabeth Deborah KutzBilling & Credential Manager · (314) 352-9800
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1104953660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0132X
12818 TESSON FERRY RD STE 102&104, Saint Louis, MO 63128

Other Providers at the Same Location NPPES 3

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

Ophthalmology (Glaucoma Specialist)
12818 TESSON FERRY RD STE 102&104
SAINT LOUIS, MO 63128
Clinic/Center
12818 TESSON FERRY RD STE 102&104
SAINT LOUIS, MO 63128
Ophthalmology (Glaucoma Specialist)
12818 TESSON FERRY RD STE 102&104
SAINT LOUIS, MO 63128

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 St. Louis Eye Clinic's NPI number?

The NPI number for St. Louis Eye Clinic is 1104953660. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is St. Louis Eye Clinic located?

St. Louis Eye Clinic is located at 12818 Tesson Ferry Rd Ste 102&104, Saint Louis, MO 63128. The listed phone number is (314) 352-9800.

What is St. Louis Eye Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

When was this NPI record last updated?

The NPPES record for St. Louis Eye Clinic was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.