| Regional Eyecare Associates Inc | |
|
3013 Winghaven Blvd, O Fallon, MO 63368-3600 | |
| (636) 561-3937 | |
| (636) 561-4068 |
| Full Name | Regional Eyecare Associates Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3013 Winghaven Blvd, O Fallon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043380652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T03134 (Missouri) | Primary |
| 152W00000X | Optometrist | T03118 (Missouri) | Secondary |
| 152W00000X | Optometrist | 2003015589 (Missouri) | Secondary |
| Provider Name | Matthew D Wickham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083695803 PECOS PAC ID: 3870534209 Enrollment ID: I20050517000095 |
| Provider Name | Lisa Mackey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982693297 PECOS PAC ID: 1951342385 Enrollment ID: I20050517000123 |
| Provider Name | Emma M Schafers-karl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558389270 PECOS PAC ID: 8921005646 Enrollment ID: I20061023000048 |
| Provider Name | Ryan Douglas Read |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699903682 PECOS PAC ID: 1658425939 Enrollment ID: I20090820000753 |
| Provider Name | William A Lynch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972531176 PECOS PAC ID: 6103956883 Enrollment ID: I20100607000174 |
| Provider Name | Navin H Tekwani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538143805 PECOS PAC ID: 9133227416 Enrollment ID: I20100908001023 |
| Provider Name | Jeffrey James Lant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710241583 PECOS PAC ID: 9931357852 Enrollment ID: I20120919000316 |
| Provider Name | Andrew M Toebben |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396127593 PECOS PAC ID: 6406160571 Enrollment ID: I20150803001550 |
| Provider Name | Jenna Osseck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700268281 PECOS PAC ID: 0648584573 Enrollment ID: I20150805007604 |
| Provider Name | Amanda L Younger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841743234 PECOS PAC ID: 9739475906 Enrollment ID: I20180226001408 |
| Provider Name | Samantha Holland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992290886 PECOS PAC ID: 7810247459 Enrollment ID: I20181113001628 |
| Provider Name | Jennifer Croft |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033647425 PECOS PAC ID: 2466722830 Enrollment ID: I20190722002310 |
| Provider Name | Lori J Elliott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730217571 PECOS PAC ID: 9739417916 Enrollment ID: I20190826003442 |
| Provider Name | Kathleen Gore Avery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417085820 PECOS PAC ID: 9931438041 Enrollment ID: I20190913001977 |
| Provider Name | Ananth Selliyan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215382536 PECOS PAC ID: 6002106606 Enrollment ID: I20200520002953 |
| Provider Name | Matthew Kyle Mccoy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043835580 PECOS PAC ID: 5294157509 Enrollment ID: I20200615001623 |
| Provider Name | Sarah R Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730855537 PECOS PAC ID: 0446657381 Enrollment ID: I20210921000491 |
| Provider Name | Elizabeth Allee Voss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255062683 PECOS PAC ID: 1658750419 Enrollment ID: I20220624000855 |
| Provider Name | Alex Helsley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073244455 PECOS PAC ID: 4082090949 Enrollment ID: I20220929001055 |
| Provider Name | Paige Blankenheim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386361319 PECOS PAC ID: 5294102836 Enrollment ID: I20221110001179 |
| Provider Name | Ryan Dement |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073297750 PECOS PAC ID: 5395104087 Enrollment ID: I20230628002778 |
| Provider Name | Amanda Nicole Edmiston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699451286 PECOS PAC ID: 2860852589 Enrollment ID: I20230713000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Eyecare Associates Inc 3013 Winghaven Blvd, O Fallon, MO 63368-3600 Ph: (636) 561-3937 | Regional Eyecare Associates Inc 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 | |
Crown Optical Optometrist Medicare: Medicare Enrolled 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 Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2946 Highway K, O Fallon, MO 63368 Phone: 636-200-4393 Fax: 636-272-1323 | |
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 | |
Dr. Matthew David Wickham, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3013 Winghaven Blvd, O Fallon, MO 63368 Phone: 636-561-3937 Fax: 636-561-4068 |