ST LOUIS VISION THERAPY
NPI 1629681176
Optometrist - Vision Therapy in Des Peres, MO
About St Louis Vision Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST LOUIS VISION THERAPY (NPI 1629681176) is a healthcare organization registered as a vision therapy in Des Peres, Missouri and active in the NPI registry since August 2020. The organization lists Cheryl L Davidson, Od, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Vision Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to St Louis Vision Therapy, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Davidson Vision Therapy LLC's NPI number?
The NPI number for Davidson Vision Therapy LLC is 1629681176. It was assigned to this organization in the NPPES registry on August 25, 2020. The provider is doing business as St Louis Vision Therapy.
Where is Davidson Vision Therapy LLC located?
Davidson Vision Therapy LLC is located at 1000 Des Peres Rd Ste 105, Des Peres, MO 63131. The listed phone number is (314) 628-9100.
What is Davidson Vision Therapy LLC's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.
Is Davidson Vision Therapy LLC enrolled in Medicare?
Yes. Davidson Vision Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Davidson Vision Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Davidson Vision Therapy LLC. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Davidson Vision Therapy LLC was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# St Louis Vision Therapy · NPI 1629681176
Vision Therapy organization in Des Peres, Missouri. Organization record, active in the CMS NPPES registry since August 25, 2020.
## Identity
- **NPI:** 1629681176 (Entity type: Organization)
- **Enumerated:** August 25, 2020
- **Primary specialty:** Optometrist - Vision Therapy · taxonomy 152WV0400X
- **Legal business name:** Davidson Vision Therapy Llc
- **Organization subpart:** No
- **Authorized official:** Cheryl Davidson, OD
## Practice location
- **Address:** 1000 DES PERES RD STE 105, Des Peres, MO 63131-2062
- **Phone:** (314) 628-9100 · **Fax:** (844) 235-0998
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629681176) · Data from the CMS NPPES public registry.