WILDWOOD VISION SPECIALISTS LLC
NPI 1174806301
Optometrist in Wildwood, MO

Q: What is Wildwood Vision Specialists LLC's NPI number?

The NPI number for Wildwood Vision Specialists LLC is 1174806301. It was assigned to this organization in the NPPES registry on September 23, 2011.

Q: What is Wildwood Vision Specialists LLC's specialty?

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

Active since September 23, 2011

2751 FOUNTAIN PL, SUITE 2, WILDWOOD, MO 63040(314) 583-1548(636) 273-3918 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Wildwood Vision Specialists Llc NPPES

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

WILDWOOD VISION SPECIALISTS LLC (NPI 1174806301) is a healthcare organization registered as an optometrist in Wildwood, Missouri and active in the NPI registry since September 2011. The organization lists Christine Marie Hayes, Managing Optometrist, as its authorized official.

NPPES Registry Identity

NPI1174806301

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameWILDWOOD VISION SPECIALISTS LLC

Location Address2751 FOUNTAIN PL, SUITE 2Wildwood, MO 63040-1202

Mailing Address2751 Fountain Pl, Suite 2Wildwood, MO 63040-1202 · (314) 583-1548 · Fax (636) 273-3918

Phone(314) 583-1548

Fax(636) 273-3918

Organization SubpartNo

Authorized OfficialChristine Marie HayesManaging Optometrist · (314) 583-1548

Enumeration DateSeptember 23, 2011

Last NPPES UpdateJune 24, 2013

✔ NPI 1174806301 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 · 2011018560✔ Licensed in MO · 2011018556

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.

2751 FOUNTAIN PL, Wildwood, MO 63040

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Other Identifiers 2

Medicare NSC6759520001MO

Medicare PINMA4134MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wildwood Vision Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wildwood Vision Specialists LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kimberly Brown, O.D.

Optometry

NPI 1417235417

2751 FOUNTAIN PL SUITE 2
Wildwood, MO 63040

(636) 273-3910

✔ PECOS✔ Accepts MedicareSame address

Christine Hayes, O.D.

Optometry

NPI 1982991386

2751 FOUNTAIN PLACE SUITE 2
Wildwood, MO 63040

(636) 273-3910

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wildwood Vision Specialists LLC's NPI number?

The NPI number for Wildwood Vision Specialists LLC is 1174806301. It was assigned to this organization in the NPPES registry on September 23, 2011.

Where is Wildwood Vision Specialists LLC located?

Wildwood Vision Specialists LLC is located at 2751 Fountain Pl Suite 2, Wildwood, MO 63040. The listed phone number is (314) 583-1548.

What is Wildwood Vision Specialists LLC's specialty?

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

Is Wildwood Vision Specialists LLC enrolled in Medicare?

Yes. Wildwood Vision Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wildwood Vision Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Wildwood Vision Specialists LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wildwood Vision Specialists LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 10 other insurers list Wildwood Vision Specialists LLC 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 Wildwood Vision Specialists LLC was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.