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ENEIDA RESULI OD
NPI 1598916041
Optometrist in Ballwin, MO

Active since October 02, 2008PECOS EnrolledAccepts Medicare Assignment
427 LAFAYETTE CTR, BALLWIN, MO 63011(636) 391-1309(636) 394-4892 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Eneida Resuli Od NPPES

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

ENEIDA RESULI OD (NPI 1598916041) is an individual optometrist in Ballwin, Missouri, licensed in Missouri (2008019621) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2008).

NPPES Registry Identity

NPI1598916041
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameENEIDA RESULICredential: OD
Location Address427 LAFAYETTE CTRBallwin, MO 63011-3943
Mailing Address211 E BroadwayAlton, IL 62002-6220 · (618) 462-9818 · Fax (314) 741-4947
Phone(636) 391-1309
Fax(636) 394-4892
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2008
Enumeration DateOctober 2, 2008
Last NPPES UpdateDecember 19, 2012
✔ NPI 1598916041 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 · 2008019621
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.
427 LAFAYETTE CTR, Ballwin, MO 63011
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Other Names 1

Former Name (1)Eneida Hafezi Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eneida Resuli Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799843801
PECOS Enrollment IDI20081017000719
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
19 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

NU-CROWN, LLC
Optometrist
427 LAFAYETTE CTR
BALLWIN, MO 63011
St. Louis County (636) 391-1309

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 Eneida Resuli's NPI number?

The NPI number for Eneida Resuli is 1598916041. It was assigned to this individual provider in the NPPES registry on October 2, 2008. The provider is also known as Eneida Hafezi Od.

Where is Eneida Resuli located?

Eneida Resuli practices at 427 Lafayette Ctr, Ballwin, MO 63011. The listed phone number is (636) 391-1309.

What is Eneida Resuli's specialty?

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

Is Eneida Resuli enrolled in Medicare?

Yes. Eneida Resuli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eneida Resuli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 9 other insurers list Eneida Resuli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eneida Resuli was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.