PEC SOUTH COUNTY LLC
NPI 1295371946
Optometrist - Corneal and Contact Management in Saint Louis, MO

Active since November 18, 2019
4412 TELEGRAPH RD, SAINT LOUIS, MO 63129(618) 234-3053 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pec South County Llc NPPES

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

PEC SOUTH COUNTY LLC (NPI 1295371946), doing business as Performance Eyecare, is a healthcare organization registered as a corneal and contact management in Saint Louis, Missouri and active in the NPI registry since November 2019. The organization lists Dirk Massie, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1295371946
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NamePEC SOUTH COUNTY LLC
Location Address4412 TELEGRAPH RDSaint Louis, MO 63129-3316
Mailing Address4111 N Illinois StSwansea, IL 62226-7609 · (618) 234-3053
Organization SubpartNo
Authorized OfficialDirk MassieOptometrist/owner · (618) 234-3053
Enumeration DateNovember 18, 2019
✔ NPI 1295371946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
4412 TELEGRAPH RD, Saint Louis, MO 63129

Other Names 1

Doing Business AsPerformance Eyecare

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pec South County Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Pec South County LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Optometry
NPI 1306378450
9973 MANCHESTER RD
Saint Louis, MO 63122
(314) 961-3151
✔ PECOS✔ Accepts Medicare9.4 mi
Optometry
NPI 1649368713
9973 MANCHESTER RD
Saint Louis, MO 63122
(314) 961-3151
✔ PECOS✔ Accepts Medicare9.4 mi
Optometry
NPI 1356454060
14037 MANCHESTER RD
Manchester, MO 63011
(636) 394-9900
✔ PECOS✔ Accepts Medicare13 mi
Optometry
NPI 1386776714
12536 OLIVE BOULEVARD SUITE B
Creve Coeur, MO 63146
(314) 878-1377
✔ PECOS16 mi
Optometry
NPI 1588952501
4111 N ILLINOIS ST
Swansea, IL 62226
(618) 234-3053
✔ PECOS✔ Accepts Medicare18 mi
Optometry
NPI 1972510345
4111 N ILLINOIS ST
Swansea, IL 62226
(618) 234-3053
✔ PECOS✔ Accepts Medicare18 mi
Optometry
NPI 1871118992
6043 MID RIVERS MALL DR
Saint Peters, MO 63304
(636) 397-2020
✔ PECOS✔ Accepts Medicare26 mi

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 Pec South County LLC's NPI number?

The NPI number for Pec South County LLC is 1295371946. It was assigned to this organization in the NPPES registry on November 18, 2019. The provider is doing business as Performance Eyecare.

Where is Pec South County LLC located?

Pec South County LLC is located at 4412 Telegraph Rd, Saint Louis, MO 63129. The listed phone number is (618) 234-3053.

What is Pec South County LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Pec South County LLC enrolled in Medicare?

Yes. Pec South County LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pec South County LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Pec South County 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pec South County LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Medica and Oscar Insurance Company list Pec South County 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 Pec South County LLC was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.