PEC CHESTERFIELD, LLC
NPI 1811500069
Optometrist in Ellisville, MO

Active since August 27, 2020
317 CLARKSON RD STE 102, ELLISVILLE, MO 63011(636) 725-2020 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Optometrist

About PEC CHESTERFIELD, LLC

This page provides the complete NPI Profile along with additional information for Pec Chesterfield, Llc, a provider established in Ellisville, Missouri operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1811500069 assigned on August 2020. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Pec Chesterfield, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dirk Massie Od (Owner)

NPI
1811500069 Verify this NPI
Provider Name
PEC CHESTERFIELD, LLC
Entity Type
Organization
Location Address
317 CLARKSON RD STE 102 ELLISVILLE, MO 63011
Location Phone
(636) 725-2020
Mailing Address
4111 N ILLINOIS ST SWANSEA, IL 62226
Mailing Phone
(618) 234-3053
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2020
Last Update Date
08-27-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIRK MASSIE OD

Authorized Official Title
OWNER
Authorized Official Phone
(618) 234-3053

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811500069, enumerated as an "organization" on August 27, 2020.

The provider is located at 317 CLARKSON RD STE 102 ELLISVILLE, MO 63011 and the phone number is (636) 725-2020.

Optometrist with taxonomy code 152W00000X.