SAINT PETERS EYE CARE CENTER LTD.
NPI 1881823334
Optometrist in Saint Peters, MO

Active since July 06, 2009
6764 MEXICO RD, SAINT PETERS, MO 63376(636) 397-2020(636) 278-2040 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Optometrist

About SAINT PETERS EYE CARE CENTER LTD.

This page provides the complete NPI Profile along with additional information for Saint Peters Eye Care Center Ltd., a provider established in Saint Peters, Missouri operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1881823334 assigned on July 2009. The practitioner's primary taxonomy code is 152W00000X with license number T02357 (MO). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kevin Greeley Lydon O.d. (President)

NPI
1881823334 Verify this NPI
Provider Name
SAINT PETERS EYE CARE CENTER LTD.
Entity Type
Organization
Location Address
6764 MEXICO RD SAINT PETERS, MO 63376
Location Phone
(636) 397-2020
Location Fax
(636) 278-2040
Mailing Address
6764 MEXICO RD SAINT PETERS, MO 63376
Mailing Phone
(636) 397-2020
Mailing Fax
(636) 278-2040
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2009
Last Update Date
07-13-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
T02357
License State
MO
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KEVIN GREELEY LYDON O.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(636) 397-2020

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6250720001MEDICARE NSC (07)MO 
MA1309MEDICARE PIN (08)MO 

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist (Corneal and Contact Management)
6764 MEXICO RD
SAINT PETERS, MO 63376
Optometrist
6764 MEXICO RD
SAINT PETERS, MO 63376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881823334, enumerated as an "organization" on July 06, 2009.

The provider is located at 6764 MEXICO RD SAINT PETERS, MO 63376 and the phone number is (636) 397-2020.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.