Provider Demographics
NPI:1427239185
Name:TODD B LAPOINT
Entity type:Organization
Organization Name:TODD B LAPOINT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:LAPOINT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:314-842-3130
Mailing Address - Street 1:11611 GRAVOIS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63126-3013
Mailing Address - Country:US
Mailing Address - Phone:314-842-3130
Mailing Address - Fax:314-842-3250
Practice Address - Street 1:11611 GRAVOIS RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-3013
Practice Address - Country:US
Practice Address - Phone:314-842-3130
Practice Address - Fax:314-842-3250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOTO3367152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO990001536Medicare PIN
MO1324650001Medicare NSC