Individual provider · Type 1 NPI

Nicholas Richard Levergood, MD

Ophthalmic Plastic and Reconstructive Surgery Physician · St. Louis, MO

NPI number 1033748108 Active

Practice location

4901 Forest Park Ave, Dept Ophthalmology, 6th Fl
St. Louis, MO 63108-1495

Call (314) 362-3937 Map

Fax (866) 505-8818

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Other practice locations

  • 915 N Grand Blvd, St. Louis, MO 63106-1621 · (314) 652-4100

Specialties and licenses

TaxonomyCodeLicense
Ophthalmic Plastic and Reconstructive Surgery Physician Primary 207WX0200X2026010211 (MO)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Ophthalmology Physician 207W00000X01093315A (IN)

Ophthalmic Plastic and Reconstructive Surgery Physician: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting struc…

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About NPI 1033748108

Nicholas Richard Levergood, MD's National Provider Identifier is 1033748108, issued on Apr 2, 2020. The primary taxonomy on file is Ophthalmic Plastic and Reconstructive Surgery Physician (207WX0200X), and the practice location is in St. Louis, MO. The record was last updated on Sep 16, 2026.