National Provider Identifier Database

ERIC JERDE, OD – NPI #1609121839
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

ERIC JERDE, OD
10275 WATSON RD
SAINT LOUIS, MO63127
Phone: 314-962-9334
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for ERIC JERDE

NPI Number 1609121839
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/13/2012
Last updated 07/23/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2012018551
  • AR Medicaid: 193954722
  • MO Medicaid: 1609121839
  • MO Other: P01235247 RR MCR
  • MO Other: 431560263 TRICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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