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

Michelle Derheimer

Individual provider Optometrist · NPI 1265873475

Michelle Derheimer is an Optometry in Des Peres, Missouri. Qualified in 2013, 13 years ago. Practices with Ophthalmology Consultants LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2013

Practice location Address checks out

12990 Manchester Rd Ste 201
Des Peres, MO 63131-1860
Phone: (314) 909-0633
Fax: (314) 909-0391
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2013025320 (MO)

Record details

NPI number1265873475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2013
Last updated in NPPESJuly 16, 2013
Mailing address12990 Manchester Rd, Suite 201, Des Peres, MO 63131-1860

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ophthalmology Consultants Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Des Peres