OPHTHALMOLOGY CONSULTANTS, LLC – Ophthalmology Physician, NPI 1508899543
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for OPHTHALMOLOGY CONSULTANTS, LLC
12692 LAMPLIGHTER SQUARE SHPG CTR
SAINT LOUIS, MO 631282746
Phone: (314) 432-5478
Fax: (314) 569-0864
Type: Mailing
7331 Watson Rd
Saint Louis, MO 631194405
Phone: (314) 633-8575
Type: Location
965 Mattox Dr
Sullivan, MO 630802365
Phone: (314) 966-5000
Type: Location
1224 Graham Rd Ste 2007
Florissant, MO 630318026
Phone: (314) 837-3667
Type: Location
12990 Manchester Rd Ste 200
Des Peres, MO 631311860
Phone: (314) 966-5000
Type: Location
12692 Lamplighter Square Shpg Ctr
Saint Louis, MO 631282746
Phone: (314) 432-5478
Fax: (314) 569-0864
Type: Location
3513 Harry S Truman Blvd
Saint Charles, MO 633014077
Phone: (636) 688-7500
Type: Location
12990 MANCHESTER RD STE 201
DES PERES, MO 631311860
Phone: (314) 909-0633
Fax: (314) 909-0391
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041122000247 | O | Clinic/Group Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63128)
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