DES PERES EYE SURGERY CENTER LLC NPI 1548399561

NPI Information

  • NPI: 1548399561
  • Provider Name: DES PERES EYE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: ST LOUIS EYE SURGERY AND LASER CENTER
  • CLIA Number: 26D1066435
  • Address: 12990 MANCHESTER RD
    SUITE 103
    SAINT LOUIS, MO
    ZIP 63131
  • Phone: (314) 686-4200

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NPI Details

DES PERES EYE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Saint Louis, MO. DES PERES EYE SURGERY CENTER, LLC NPI is 1548399561. The provider is registered as an organization entity type.
The provider Is Doing Business As St Louis Eye Surgery And Laser Center.

The provider's business location address is:

12990 MANCHESTER RD
SUITE 103
SAINT LOUIS, MO
ZIP 63131-860
Phone: (314) 686-4200
Fax: (314) 686-4217

The provider's authorized official is Melanie Kofron .
The authorized official title is Administrator and has the following contact phone number (314) 686-4200.

The CLIA number assigned to this NPI record is 26D1066435 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Repair of brow paralysis (HCPCS:67900)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Exchange of prosthetic lens (HCPCS:66986)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser (HCPCS:67040)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • Insertion of initial aqueous fluid drainage device into eye (HCPCS:0449T)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)

The enumeration date for this NPI number is 3/5/2007 and was last updated on 8/12/2008.

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
1261QA1903XClinic/CenterAmbulatory SurgicalMISSOURIYes

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
1P00461792OTHERMISSOURIRAILROAD MEDICARE
21548399561MEDICAIDMISSOURI

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: 3/30/2025

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