OTIS OPTOMETRY, LLC – Optometrist, NPI 1568873602

OTIS OPTOMETRY, LLC is a healthcare provider. based in Wentzville, Missouri. specializing in Optometrist. The organization holds a License No. TO3134 (MO). The NPI Number for OTIS OPTOMETRY, LLC is 1568873602

Main info

Organization
Name
OTIS OPTOMETRY, LLC
NPI
1568873602
Phone
(636) 812-3821
Address
1939 WENTZVILLE PKWY
Authorized Official
MR. MATT DAVID WICKHAM OWNER O.D.
Enumeration Date
12 May 2014
Last Update Date
29 July 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for OTIS OPTOMETRY, LLC

  • 1939 WENTZVILLE PKWY

    STE 166

    WENTZVILLE, MO 633853424

    Phone: (636) 812-3821

    Fax: (888) 841-1312

    Type: Mailing

  • 94 CECIL ST

    CAMDENTON, MO 650207057

    Phone: (573) 317-9279

    Fax: (888) 841-1312

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 63385)

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Reviews

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Frequently asked questions

Is there an official ID for OTIS OPTOMETRY, LLC in U.S. healthcare records?
The official identifier for OTIS OPTOMETRY, LLC is NPI 1568873602.
Is there an active status for OTIS OPTOMETRY, LLC?
For scheduling context, OTIS OPTOMETRY, LLC is shown as active in the registry.
What area of care is associated with OTIS OPTOMETRY, LLC?
OTIS OPTOMETRY, LLC's record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with OTIS OPTOMETRY, LLC?
Directory geography for OTIS OPTOMETRY, LLC centers on Wentzville, Missouri.
Does OTIS OPTOMETRY, LLC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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