EAST ST. LOUIS EYE CLINIC
NPI 1417049610
Optometrist in East St. Louis, IL

Q: What is Curators Of The University Of Missouri's specialty?

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

Active since September 28, 2006

601 JAMES R. THOMPSON BLVD, BUILDING D, STE 2030, EAST ST. LOUIS, IL 62201(618) 482-8355(618) 482-8360 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2020, Feb 27, 2019, Nov 2, 2016 and 1 more (4 updates tracked since 2016).

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About East St. Louis Eye Clinic NPPES

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

EAST ST. LOUIS EYE CLINIC (NPI 1417049610) is a healthcare organization registered as an optometrist in East St. Louis, Illinois and active in the NPI registry since September 2006. The organization lists Vinita A Henry, Director Of Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1417049610

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameCURATORS OF THE UNIVERSITY OF MISSOURI

Location Address601 JAMES R. THOMPSON BLVD, BUILDING D, STE 2030East St. Louis, IL 62201-1129

Mailing Address1 University Blvd, Patient Care CenterSaint Louis, MO 63121-4400 · (314) 516-5131 · Fax (314) 516-5507

Phone(618) 482-8355

Fax(618) 482-8360

Organization SubpartYesParent: The Curators Of The University Of Missouri

Authorized OfficialVinita A HenryDirector Of Clinical Operations · (314) 516-6532

Enumeration DateSeptember 28, 2006

Last NPPES UpdateJune 10, 20204 updates tracked since enumeration

NPPES CertifiedJune 10, 2020

✔ NPI 1417049610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

601 JAMES R. THOMPSON BLVD, East St. Louis, IL 62201

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Other Names 2

Doing Business AsEast St. Louis Eye Clinic

Doing Business AsCenter For Eye Care

Other Identifiers 1

Other90-0294049MO · Sub-tin

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to East St. Louis Eye Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Sarah Dohrman, O.D.

Optometry

NPI 1477815744

7840 NATURAL BRIDGE BLVD PATIENT CARE CENTER
St. Louis, MO 63121

(314) 516-5131