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South County Eye Care

Preferred Provider Organization in St Louis, MO · enumerated 2006 · authorized official Brandi Polk, Admin.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801981899

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Registry record

Entity type Organization (Type 2)
Legal business name South County Eye Care
Other name <Unavail>
Practice address 13131 Tesson Ferrry Rd #108, St Louis, MO, 63128
Fax (314) 843-5290
Enumeration date Oct 4, 2006
Last updated in NPPES Feb 19, 2019

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations · License MDR9N88 (MO) Primary

Authorized official

Name Brandi Polk
Title Admin

Other identifiers

Identifier Type State Issuer
203015219 Medicaid MO -
MDR9N88 Other MO MO LICENSE #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-02-19. Verify at npiregistry.cms.hhs.gov.
Where is South County Eye Care located?
The practice location on file with NPPES is in St Louis, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-19.