ST. LOUIS EYE INSTITUTE
NPI 1396161840
Ophthalmology in Chesterfield, MO

Q: What is St. Louis Eye Institute, PC's NPI number?

The NPI number for St. Louis Eye Institute, PC is 1396161840. It was assigned to this organization in the NPPES registry on March 7, 2014. The provider is doing business as St. Louis Eye Institute.

Q: What is St. Louis Eye Institute, PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since March 07, 2014CLIA 26D2120805 · Waiver

1585 WOODLAKE DR, SUITE 106, CHESTERFIELD, MO 63017(314) 326-4800 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About St. Louis Eye Institute NPPES

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

ST. LOUIS EYE INSTITUTE (NPI 1396161840) is a healthcare organization registered as an ophthalmology in Chesterfield, Missouri and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through October 24, 2028 and lists Adam Ross Fedyk, Owner, as its authorized official.

NPPES Registry Identity

NPI1396161840

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameST. LOUIS EYE INSTITUTE, PC

Location Address1585 WOODLAKE DR, SUITE 106Chesterfield, MO 63017-5740

Mailing Address1585 Woodlake Dr, Suite 106Chesterfield, MO 63017-5740 · (314) 326-4800

Phone(314) 326-4800

Organization SubpartNo

Authorized OfficialAdam Ross FedykOwner · (314) 974-7699

Enumeration DateMarch 7, 2014

✔ NPI 1396161840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MO · 2008009796

Definition

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.

1585 WOODLAKE DR, Chesterfield, MO 63017

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Other Names 1

Doing Business AsSt. Louis Eye Institute

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Louis Eye Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St. Louis Eye Institute, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adam Fedyk, M.D.

Ophthalmology

NPI 1356544209

1585 WOODLAKE DR. SUITE 106
Town & Country, MO 63017

(314) 326-4800

✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2120805

St Louis Eye Institute · Town And Country, MO

Active · expires Oct 24, 2028

CLIA Number26D2120805

Laboratory TypePhysician Office

Certificate Effective DateOctober 25, 2026

Certificate Expiration DateOctober 24, 2028

Laboratory DirectorAdam R. Fedyk

Laboratory Phone(314) 326-4800

Laboratory LocationSt Louis Eye Institute1585 Wooelake Dr Ste 106, Town And Country, MO 63017

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Institute, PC's NPI number?

The NPI number for St. Louis Eye Institute, PC is 1396161840. It was assigned to this organization in the NPPES registry on March 7, 2014. The provider is doing business as St. Louis Eye Institute.

Where is St. Louis Eye Institute, PC located?

St. Louis Eye Institute, PC is located at 1585 Woodlake Dr Suite 106, Chesterfield, MO 63017. The listed phone number is (314) 326-4800.

What is St. Louis Eye Institute, PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is St. Louis Eye Institute, PC enrolled in Medicare?

Yes. St. Louis Eye Institute, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Louis Eye Institute, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to St. Louis Eye Institute, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St. Louis Eye Institute, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2120805) is associated with this NPI, valid through October 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Louis Eye Institute, PC was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.