Provider Demographics
NPI:1033115019
Name:KARPEL, AMBER (OD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:KARPEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15933 CLAYTON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2172
Mailing Address - Country:US
Mailing Address - Phone:636-200-4393
Mailing Address - Fax:636-527-0766
Practice Address - Street 1:2185 S MASON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-1640
Practice Address - Country:US
Practice Address - Phone:314-821-5666
Practice Address - Fax:314-821-5322
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2017-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000160786152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO315200105Medicaid
MO410043109OtherRAILROAD MEDICARE
MO315200105Medicaid
MO021006438Medicare PIN
U81826Medicare UPIN