JILL MOGIL O.D. NPI 1285953844

NPI Information

NPI: 1285953844
Provider Name: JILL MOGIL, O.D.
Classification: Optometrist - 152WL0500X
Entity Type: Individual

Specialization: Low Vision Rehabilitation

PECOS Registration: Yes

Address:
2821 N BALLAS RD STE C11
SAINT LOUIS, MO
ZIP 63131
Phone: (833) 376-6445
Get Directions

Jill Mogil, O.D. is a low vision rehabilitation optometrist in Saint Louis, MO with 40 years of experience. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. Jill Mogil, O.D. NPI is 1285953844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduation Year:1984

The provider's business location address is:

2821 N BALLAS RD STE C11
SAINT LOUIS, MO
ZIP 63131-313
Phone: (833) 376-6445
Fax: (314) 312-6984

The NPI 1285953844 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/21/2010 and was last updated on 7/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		TO2571	MISSOURI	No
2	152W00000X	Optometrist		046007879	ILLINOIS	No
3	152WL0500X	Optometrist	Low Vision Rehabilitation	T02571	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1285953844	OTHER		PROVIDER NPI NUMBER
2	991722003	OTHER	MISSOURI	MEDICARE PART B
3	0009359551	OTHER		AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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