1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Optometrist
  6. NPI Profile

DR. ASHLEY NICOLE TARY O.D.
NPI 1588066088
Optometrist in Saint Louis, MO

Active since September 16, 2014PECOS EnrolledAccepts Medicare Assignment
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111(314) 353-5190(314) 353-7631 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ashley Nicole Tary O.d. NPPES

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

DR. ASHLEY NICOLE TARY O.D. (NPI 1588066088) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (2014018412) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2014).

NPPES Registry Identity

NPI1588066088
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ASHLEY NICOLE TARYCredential: O.D.
Location Address401 HOLLY HILLS AVESaint Louis, MO 63111-2410
Mailing Address6136 Brookton Oaks DrCedar Hill, MO 63016-2271 · (636) 208-2832
Phone(314) 353-5190
Fax(314) 353-7631
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2014
Enumeration DateSeptember 16, 2014
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1588066088 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 · 2014018412
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.
401 HOLLY HILLS AVE, Saint Louis, MO 63111
Open in Google Maps ↗

Other Names 1

Former Name (1)Ashley Nicole Liverar

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ashley Nicole Tary O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022230432
PECOS Enrollment IDI20141119000086
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Ashley Tary reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Care Health Centers
Same address
Federally Qualified Health Center (FQHC)
401 HOLLY HILLS AVE
Saint Louis, MO 63111
  • Reassigned Medicare billing, Missouri enrollment
  • 55 clinicians in this Medicare group
NPI 1508867508 (314) 481-1615
Medical Eyecare, LLC
6.5 mi
Optometrist
17 RONNIES PLZ
Saint Louis, MO 63126
  • Reassigned Medicare billing, Missouri enrollment
  • 7 clinicians in this Medicare group
NPI 1518438266 (314) 843-2020
Curators Of The University Of Missouri
11 mi
Optometrist
7840 NATURAL BRIDGE BLVD, PATIENT CARE CENTER
Saint Louis, MO 63121
  • Reassigned Medicare billing, Missouri enrollment
  • 38 clinicians in this Medicare group
NPI 1679664718 (314) 516-5131

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services44 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
37 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. LEXI KATHLEEN WISCH PT, DPT
Physical Therapist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
DR. DANIEL RALPH BERG MD
Internal Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
MRS. JINA LEE MCATEE MD
Pediatrics
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
GWYN MAHONY HADEED D.O.
Family Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
ARIEL MARIE JONES DC
Chiropractor
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
SAVANNAH JOY WINNINGHAM LMSW
Social Worker (Clinical)
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 834-2273
MS. ASHNA MAHADEV MD
Student in an Organized Health Care Education/Training Program
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
MARIE HARLA RD
Dietitian, Registered
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190

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 Ashley Tary's NPI number?

The NPI number for Ashley Tary is 1588066088. It was assigned to this individual provider in the NPPES registry on September 16, 2014. The provider is also known as Ashley Nicole Liverar.

Where is Ashley Tary located?

Ashley Tary practices at 401 Holly Hills Ave, Saint Louis, MO 63111. The listed phone number is (314) 353-5190.

What is Ashley Tary's specialty?

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

Is Ashley Tary enrolled in Medicare?

Yes. Ashley Tary is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ashley Tary's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Tary reassigns Medicare benefits to 3 organizations: Family Care Health Centers (Saint Louis, MO), Medical Eyecare, LLC (Saint Louis, MO) and Curators Of The University Of Missouri (Saint Louis, MO). Each 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 Ashley Tary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Tary 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 17 other insurers list Ashley Tary 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 Ashley Tary was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.