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

Dr. Andrew Jacob Polk, MD

Individual provider Ophthalmology Physician · NPI 1528697448

Dr. Andrew Jacob Polk, MD is an Ophthalmology in Fenton, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 2020, 6 years ago. Practices with Envision Eye Specialists PC, a 6-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1011 Bowles Ave Ste 200
Fenton, MO 63026-2384
Phone: (636) 717-1700
Fax: (636) 203-4727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 2024032606 (MO)

Record details

NPI number1528697448
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Envision Eye Specialists Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fenton