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SOUTH COUNTY EYE CARE
NPI 1801981899
Preferred Provider Organization in St Louis, MO

Active since October 04, 2006
13131 TESSON FERRRY RD #108, ST LOUIS, MO 63128(314) 843-5800(314) 843-5290 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2019, Feb 13, 2019 (2 updates tracked since 2019).

About South County Eye Care NPPES

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

SOUTH COUNTY EYE CARE (NPI 1801981899) is a healthcare organization registered as a preferred provider organization in St Louis, Missouri and active in the NPI registry since October 2006. The organization lists Brandi Nicole Polk, Admin, as its authorized official.

NPPES Registry Identity

NPI1801981899
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameSOUTH COUNTY EYE CARE
Location Address13131 TESSON FERRRY RD #108St Louis, MO 63128
Mailing Address13131 Tesson Ferrry Rd #108St Louis, MO 63128 · (314) 843-5800 · Fax (314) 843-5290
Phone(314) 843-5800
Fax(314) 843-5290
Organization SubpartNo
Authorized OfficialBrandi Nicole PolkAdmin · (314) 843-5800
Enumeration DateOctober 4, 2006
Last NPPES UpdateFebruary 19, 20192 updates tracked since enumeration
✔ NPI 1801981899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MO · MDR9N88
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Other Names 1

Doing Business AsSouth County Eye Care

Other Identifiers 2

OtherMDR9N88MO · Mo License #
Medicaid203015219MO

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 South County Eye Care's NPI number?

The NPI number for South County Eye Care is 1801981899. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is South County Eye Care located?

South County Eye Care is located at 13131 Tesson Ferrry Rd #108, St Louis, MO 63128. The listed phone number is (314) 843-5800.

What is South County Eye Care's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for South County Eye Care was last updated on February 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.