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Regional Eyecare Associates Inc

NPI 1043380652ActiveOrganization· Optometrist· O Fallon, MO

Optometrist in O Fallon, Missouri, registered in NPPES in November 2006. The authorized official on file is Lisa M. Mackey, OD, Od Vp. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.

Overview

NPI1043380652
StatusActive
Entity typeOrganization
NPI issuedNov 9, 2006
Last updated in NPPESOct 20, 2025
Certified by providerOct 20, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XT03134MO
Optometrist152W00000XT03118MO
Optometrist152W00000X2003015589MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Optometrist (MO); Part B Supplier - Clinic/Group Practice (MO)

Medicare sources and data years

Other Optometrist providers in O Fallon

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