| Dr Brian D Lopatin, OD | |
|
4145 Lindell Blvd, Saint Louis, MO 63108-2913 | |
| (314) 533-1898 | |
| (800) 432-6004 |
| Full Name | Dr Brian D Lopatin |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 4145 Lindell Blvd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710946991 | NPI | - | NPPES |
| 315083105 | Medicaid | MO | |
| P00403024 | Other | MO | RR MEDICARE |
| 115889 | Other | BLUE CROSS BLUE SHIELD MO | |
| 23056 | Other | OPTICARE MED. COMPLETE | |
| 410048354 | Other | IL | RR MEDICARE |
| PENDING | Other | GROUP HEALTH PLAN | |
| MO3191 | Other | EYEMED | |
| 21176 | Other | HEALTHCARE | |
| UNKNOWN | Other | DAVIS VISION | |
| 22-00106 | Other | UNITED HEALTHCARE | |
| 115889 | Other | BLUE CHOICE | |
| 674835 | Other | HEALTHLINK | |
| U89401 | Other | MERCY HEALTH PLANS | |
| UNKNOWN | Other | VISION CARE PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T03191 (Missouri) | Primary |
| Provider Name | Nucrown, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295737294 PECOS PAC ID: 1456256346 Enrollment ID: O20041025000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian D Lopatin, OD 211 E Broadway, Alton, IL 62002-6220 Ph: (314) 533-1898 | Dr Brian D Lopatin, OD 4145 Lindell Blvd, Saint Louis, MO 63108-2913 Ph: (314) 533-1898 |
Dr. Matthew Christopher Simpson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 Fax: 314-289-6581 | |
Mariana Said, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-617-2600 | |
Brandon Merrill, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7840 Natural Bridge Rd, Saint Louis, MO 63121 Phone: 314-516-5131 Fax: 314-516-6405 | |
Dr. Kristin S. Mcmurry, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12406 Tesson Ferry Rd, Saint Louis, MO 63128 Phone: 314-842-5858 Fax: 800-432-6004 | |
Genevieve Ehlers, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Douglas J Mcguire, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5496 Baumgartner Rd, S.105, Saint Louis, MO 63129 Phone: 314-487-2600 Fax: 314-487-7135 | |
Dr. Michael Rohde, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2572 Lemay Ferry Rd, Saint Louis, MO 63125 Phone: 314-892-3321 Fax: 314-845-9603 |