ST. LOUIS EYE CLINIC – NPI #1366555690
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

ST. LOUIS EYE CLINIC is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1366555690 to ST. LOUIS EYE CLINIC on August 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Jun 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. LOUIS EYE CLINIC below.

NPI Profile for
ST. LOUIS EYE CLINIC

NPI Number
1366555690
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. LOUIS EYE CLINIC
Primary location
12818 TESSON FERRY RD STE 102&104
SAINT LOUIS, MO 63128-2613
Phone: (314) 352-9800 Fax: (314) 352-4290
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
S LELE
PRESIDENT
Phone: (314) 352-9800
Updated
Certification Date
Jun 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
207W00000X
- Ophthalmology
156FX1800X
- Technician/Technologist / Optician

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.