Pec St Peters LLC
NPI 1669988242ActiveOrganization· Optometrist· Saint Peters, MO
Optometrist in Saint Peters, Missouri, registered in NPPES in December 2017. The authorized official on file is Dirk Massie, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669988242 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2017 |
| Last updated in NPPES | Dec 19, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
Other Optometrist providers in Saint Peters
- 1073703625
- 1609807437
- 1790927507
- 1942392410
- 1912065137
- 1881823334
- 1689329336
- 1164693677
- 1619050002
- 1366883472
- 1497325229
- 1477968329