Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK D PECKHAM OD
NPI 1376539064
Optometrist in Festus, MO

Q: What is Mark Peckham's NPI number?

The NPI number for Mark Peckham is 1376539064. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Q: What is Mark Peckham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Peckham was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.

Active since September 27, 2005

600 WESTWOOD DR S, MARK D PECKHAM OD, FESTUS, MO 63028(636) 937-4747(636) 937-4747 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Mark D Peckham Od NPPES

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

DR. MARK D PECKHAM OD (NPI 1376539064) is an individual optometrist in Festus, Missouri, licensed in Missouri (TO2158) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1376539064

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARK D PECKHAMCredential: OD

Location Address600 WESTWOOD DR S, MARK D PECKHAM ODFestus, MO 63028-2061

Mailing Address600 Westwood Dr SFestus, MO 63028-2061 · (636) 937-4747 · Fax (636) 937-4747

Phone(636) 937-4747

Fax(636) 937-4747

Sole ProprietorNo

Enumeration DateSeptember 27, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1376539064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · TO2158

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.

600 WESTWOOD DR S, Festus, MO 63028

Open in Google Maps ↗

Other Identifiers 1

Other6828Pin

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 Mark Peckham's NPI number?

The NPI number for Mark Peckham is 1376539064. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Mark Peckham located?

Mark Peckham practices at 600 Westwood Dr S Mark D Peckham Od, Festus, MO 63028. The listed phone number is (636) 937-4747.

What is Mark Peckham's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Peckham was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.