Pec Chesterfield, LLC
NPI 1811500069ActiveOrganization· Optometrist· Ellisville, MO
Optometrist in Ellisville, Missouri, registered in NPPES in August 2020. The authorized official on file is Dirk Massie, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811500069 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2020 |
| Last updated in NPPES | Aug 27, 2020 |
| Certified by provider | Aug 26, 2020 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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