Dr. Enrique Peralta

Ophthalmologist | 38+ years Exp


  
11710 Old Ballas Rd, Suite 102, Saint Louis
Missouri, 63141-7076

 314-569-2020     314-569-1596Maps & Directions
Dr. Enrique Peralta is a Saint Louis, Missouri based male Ophthalmologist with 38 years of experience in Ophthalmology. He completed his graduation from Other in 1986. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Enrique Peralta is 2004012770 for Ophthalmology in Missouri.
Dr. Enrique Peralta is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.


Complete Profile:
Dr. Enrique Peralta speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Ophthalmology
Experience: 38+ years
Medical School Attended:Other
Graduation Year:1986
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:11710 Old Ballas Rd, Suite 102, Saint Louis,
Missouri, 63141-7076
Phone:314-569-2020
Fax:314-569-1596
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6709849102
Enrollment ID: I20041108000009
NPI Number: 1346237534
NPI Enumeration Date: 03 Oct, 2005
NPI Last Update On: 08 Feb, 2011

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Enrique Peralta are as mentioned below.
License NumberSpecializationStateStatus
2004012770Ophthalmology MissouriPrimary
036-112111Ophthalmology IllinoisSecondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Enrique Peralta has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Jfj Eyecare Ltd (8224009865)15
Retina Center Pc (5890758296)3
Jfj Eyecare Ltd (8224009865)15
Retina Center Pc (5890758296)3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Enrique Peralta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
209310200MedicaidMissouri
036112111MedicaidIllinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 11710 Old Ballas Rd, Suite 102
Saint Louis, Missouri
Zip: 63141-7076
Phone Number: 314-569-2020
Fax Number: 314-569-1596
Patients can reach Dr. Enrique Peralta at 11710 Old Ballas Rd, Suite 102, Saint Louis, Missouri or can call to book an appointment on 314-569-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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