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REGIONAL EYECARE ASSOCIATES INC
NPI 1043380652
Optometrist in O Fallon, MO

Active since November 09, 2006CLIA 26D2156512 · Waiver
3013 WINGHAVEN BLVD, O FALLON, MO 63368(636) 561-3937(636) 561-4068 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Regional Eyecare Associates Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGIONAL EYECARE ASSOCIATES INC (NPI 1043380652) is a healthcare organization registered as an optometrist in O Fallon, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Lisa M Mackey, Od Vp, as its authorized official.

NPPES Registry Identity

NPI1043380652
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameREGIONAL EYECARE ASSOCIATES INC
Location Address3013 WINGHAVEN BLVDO Fallon, MO 63368-3600
Mailing Address3013 Winghaven BlvdO Fallon, MO 63368-3600 · (636) 561-3937 · Fax (636) 561-4068
Phone(636) 561-3937
Fax(636) 561-4068
Organization SubpartNo
Authorized OfficialLisa M MackeyOd Vp · (636) 561-3937
Enumeration DateNovember 9, 2006
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1043380652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MO · T03134✔ Licensed in MO · 2003015589✔ Licensed in MO · T03118
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3013 WINGHAVEN BLVD, O Fallon, MO 63368
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2156512

Regional Eyecare Associates · O Fallon, MO
Active · expires Oct 14, 2027
CLIA Number26D2156512
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorMatthew A. Wickham
Laboratory Phone(636) 561-3937
Laboratory LocationRegional Eyecare Associates3013 Winghaven Boulevard, O Fallon, MO 63368
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Regional Eyecare Associates carries, from the Medicare DMEPOS supplier directory.

Regional Eyecare Associates

DMEPOS supplier · O Fallon, MOOperated by Regional Eyecare Associates Inc
✔

Accepts Medicare assignment

Regional Eyecare Associates agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20581481
Medicare Participant SinceMarch 15, 2005
Supplier Location3013 Winghaven BlvdO Fallon, MO 63368
Phone(636) 561-3937
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW DAVID WICKHAM OD
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
ALISON MCCOMBS-BUCHANAN
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
PAIGE BLANKENHEIM OD
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
DR. ABIGAIL MARTIN OD
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
KATHLEEN GORE AVERY O.D.
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
DR. JENNA OSSECK O.D.
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
SAMANTHA HOLLAND OD
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regional Eyecare Associates Inc's NPI number?

The NPI number for Regional Eyecare Associates Inc is 1043380652. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Regional Eyecare Associates Inc located?

Regional Eyecare Associates Inc is located at 3013 Winghaven Blvd, O Fallon, MO 63368. The listed phone number is (636) 561-3937.

What is Regional Eyecare Associates Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Regional Eyecare Associates Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Regional Eyecare Associates accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Regional Eyecare Associates Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2156512) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Regional Eyecare Associates Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Regional Eyecare Associates Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Regional Eyecare Associates Inc was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.