THEBE BAGWASI – Corneal and Contact Management Optometrist, NPI 1124037320
Corneal and Contact Management Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for THEBE BAGWASI
2100 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 633036708
Phone: (636) 410-8285
Fax: (636) 410-8397
Type: Location
1307 HIGHWAY K
O FALLON, MO 633665978
Phone: (636) 980-2721
Fax: (636) 272-1731
Type: Mailing
Walmart Supercenter, 3270, Telegraph Road, Mehlville, Saint Louis County, Missouri, 63125, United States
SAINT LOUIS, MO 631255565
Phone: (314) 845-3164
Type: Location
6, Moray Court, Highland Village, Pettys Hill, Valley Park, Saint Louis County, Missouri, 63088, United States
VALLEY PARK, MO 630881550
Phone: (314) 845-3164
Fax: (573) 517-0677
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: CooperVision Inc. ($100).
Total Amount
$186
General + Research + Ownership
Payments
2
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $100 |
| Bausch & Lomb Americas Inc. | $87 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070524000024 | I | Optometry | MO | TBD |
| I20260303003502 | I | Optometry | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63303)
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