DR. SAMEH ABDOU BOULES OPTOMETRIST - O.D.
NPI 1669648374
Optometrist in Saint Louis, MO

Active since May 02, 2008PECOS Enrolled
3732 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109(314) 446-1134(314) 446-1136 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sameh Abdou Boules Optometrist - O.d. NPPES

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

DR. SAMEH ABDOU BOULES OPTOMETRIST - O.D. (NPI 1669648374) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (2011020049) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669648374
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMEH ABDOU BOULESCredential: OPTOMETRIST - O.D.
Location Address3732 S KINGSHIGHWAY BLVDSaint Louis, MO 63109-1800
Mailing Address211 E BroadwayAlton, IL 62002-6220 · (618) 462-9818 · Fax (800) 432-6004
Fax(314) 446-1136
Sole ProprietorNo
Enumeration DateMay 2, 2008
Last NPPES UpdateJune 4, 2014
NPI 1669648374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MO · 2011020049 Licensed in NY · TUV007255 Licensed in IL · 046010527 Licensed in NY · TUV007255-1
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.

3732 S KINGSHIGHWAY BLVD, Saint Louis, MO 63109

Other Identifiers 2

Medicaid1669648374MO
Medicare PIN991722007MO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sameh Abdou Boules Optometrist - O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63109 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 2

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

Optometrist
3732 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63109
Optometrist
3732 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669648374, enumerated as an "individual" on May 02, 2008.

The provider is located at 3732 S KINGSHIGHWAY BLVD SAINT LOUIS, MO 63109 and the phone number is (314) 446-1134.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.