Regional Eyecare Associates Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03134 Issued in MO

Legal business name

REGIONAL EYECARE ASSOCIATES INC

Practice address

3013 Winghaven Blvd
O Fallon, MO 63368-3600

Phone

(636) 561-3937

Fax

(636) 561-4068

NPI assigned

Nov 9, 2006

Organization subpart

No

Name

Dr. Lisa M Mackey, ODNPI 1982693297

Title

OD VP

Phone

(636) 561-3937

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Marie Mackey, OD

  • Optometrist
  • O Fallon, MO
  • NPI 1982693297

  MO, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Amanda Lucette Bethel, O.D.

  • Optometrist
  • Hillsboro, MO
  • NPI 1841743234

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Stephen Vincent Cusumano, O.D.

  • Optometrist
  • O Fallon, MO
  • NPI 1831192533

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Ryan Dement, OD

  • Optometrist
  • Saint Peters, MO
  • NPI 1073297750

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Samantha Holland, OD

  • Optometrist
  • O Fallon, MO
  • NPI 1992290886

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Jeffrey James Lant, O.D.

  • Optometrist
  • O Fallon, MO
  • NPI 1710241583

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• William Albert Lynch Jr., OD

  • Optometrist
  • Cuba, MO
  • NPI 1972531176

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Abigail Martin, OD

  • Optometrist
  • O Fallon, MO
  • NPI 1396634986

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Jenna Osseck, O.D.

  • Optometrist
  • O Fallon, MO
  • NPI 1700268281

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Ryan D Read, O.D.

  • Optometrist
  • Hillsboro, MO
  • NPI 1699903682

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Emma M Schafers-Karl, O.D.

  • Optometrist
  • O Fallon, MO
  • NPI 1558389270

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Navin Hiralal Tekwani, MD

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1538143805

  MO

  Medicare reassignment Care Compare group NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2025.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1043380652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 WINGHAVEN BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683600",
            "telephone_number": "636-561-3937",
            "fax_number": "636-561-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 WINGHAVEN BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683600",
            "telephone_number": "636-561-3937",
            "fax_number": "636-561-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL EYECARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OD VP",
        "authorized_official_telephone_number": "636-561-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03134",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03118",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2003015589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole L Redecker, LPC
• Colleen Ann Redington, OTR
• Amanda L Reed
• Kimberly Rachel Reese, DPT
• Regenerative Wellness Center, LLC
• Michael Rehg
• Phillip D Reichert, MD
• Reliable Mental Health Services LLC
• Paula Christine Renna
• Jennifer Revell

• All providers in O Fallon, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.