Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel P. Ethakoti, OD

Individual provider Optometrist · NPI 1740662964

Daniel P. Ethakoti, OD is an Optometry in Saint Louis, Missouri. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2015
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3732 S Kingshighway Blvd
Saint Louis, MO 63109-1800
Phone: (314) 446-1134
Fax: (314) 446-1136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2015020209 (MO)

Record details

NPI number1740662964
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 24, 2015
Last updated in NPPESJune 24, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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