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ST. LOUIS EYE CLINIC
NPI 1629105259
Ophthalmology - Glaucoma Specialist 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: July 19, 2026.

About St. Louis Eye Clinic NPPES

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

ST. LOUIS EYE CLINIC (NPI 1629105259) is a healthcare organization registered as a glaucoma specialist in Saint Louis, Missouri and active in the NPI registry since February 2007. The organization lists Elizabeth Deborah Kutz, Credentialing & Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1629105259
Entity TypeOrganization
Primary Taxonomy207WX0009X
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
Phone(314) 352-9800
Fax(314) 352-4290
Organization SubpartNo
Authorized OfficialElizabeth Deborah KutzCredentialing & Billing Specialist · (314) 352-9800
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1629105259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
Definition

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

12818 TESSON FERRY RD STE 102&104, Saint Louis, MO 63128
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ST. LOUIS EYE CLINIC
Ophthalmology (Glaucoma Specialist)
12818 TESSON FERRY RD STE 102&104
SAINT LOUIS, MO 63128
St. Louis County (314) 352-9800
ST. LOUIS EYE CLINIC
Clinic/Center (Ophthalmologic Surgery)
12818 TESSON FERRY RD STE 102&104
SAINT LOUIS, MO 63128
St. Louis County (314) 352-9800
ST. LOUIS EYE CLINIC
Clinic/Center
12818 TESSON FERRY RD STE 102&104
SAINT LOUIS, MO 63128
St. Louis County (314) 352-9800

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 1629105259. 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 Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

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 with the weekly NPPES data releases published by CMS.