| Dr Matthew David Wickham, OD | |
| 3013 Winghaven Blvd, O Fallon, MO 63368-3600 | |
| (636) 561-3937 | |
| (636) 561-4068 | 
| Full Name | Dr Matthew David Wickham | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 3013 Winghaven Blvd, O Fallon, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083695803 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | T03134 (Missouri) | Primary | 
| Provider Name | Regional Eyecare Associates Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1043380652 PECOS PAC ID: 2961443395 Enrollment ID: O20050517000101 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Matthew David Wickham, OD 3013 Winghaven Blvd, O Fallon, MO 63368-3600 Ph: (636) 561-3937 | Dr Matthew David Wickham, OD 3013 Winghaven Blvd, O Fallon, MO 63368-3600 Ph: (636) 561-3937 | 
| Dr. Stephen D. Bollinger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2946 Highway K, O Fallon, MO 63368 Phone: 636-240-1516 | |
| Nu-crown, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 361 Winding Woods Ctr, Suite 8, O Fallon, MO 63366 Phone: 636-281-5367 Fax: 800-432-6004 | |
| Dr. Jennifer Croft, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3821 Veterans Memorial Pkwy, O Fallon, MO 63376 Phone: 636-928-1111 | |
| Clarkson Optometry Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2946 Highway K, O Fallon, MO 63368 Phone: 636-200-4393 Fax: 636-272-1323 | |
| Regional Eyecare Associates Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3013 Winghaven Blvd, O Fallon, MO 63368 Phone: 636-561-3937 Fax: 636-561-4068 | |
| Dr. Jacqueline G Ladd, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 302 E Pitman St, O Fallon, MO 63366 Phone: 636-272-1444 |