Individual provider Active NPI

Ryan Dement, OD

  • Optometrist
  • Saint Peters, MO
National Provider Identifier
1073297750
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2023020825 Issued in MO
Practice address
3821 Veterans Memorial Pkwy
Saint Peters, MO 63376-6416
Phone
(636) 928-1111
NPI assigned
Jun 13, 2023
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2023020825 MO Primary

Addresses

Primary practice location

3821 Veterans Memorial Pkwy
Saint Peters, MO 63376-6416

Mailing address

9979 Winghaven Blvd Ste 210
O Fallon, MO 63368-3628
Phone (636) 695-8555

Other practice location 1

853 Medical Dr Ste 113
Wentzville, MO 63385-3825
Phone (636) 327-8433

Other practice location 2

3013 Winghaven Blvd
O Fallon, MO 63368-3600
Phone (636) 561-3937

Other practice location 3

10738 Business 21
Hillsboro, MO 63050-5075
Phone (636) 586-7770

Other practice location 4

402 W Washington St
Cuba, MO 65453-1217
Phone (573) 885-2323

Other practice location 5

2681 Highway K
O Fallon, MO 63368-7865
Phone (636) 978-5555

Other practice location 6

3758 Elm St
Saint Charles, MO 63301-4336
Phone (636) 757-3553

Other practice location 7

4702 Mid Rivers Mall Dr
Cottleville, MO 63376-2883
Phone (636) 244-5378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628002778 MO Practitioner - Optometry 5395104087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Eyecare Associates IncGroup PAC ID 2961443395, 15 clinicians

Practice addresses (Care Compare)

853 Medical Dr
Suite 113
Wentzville, MO 63385-3825
Phone (636) 327-8433

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Eyecare Associates Inc Optometrist CurrentSince Jun 14, 2023 Accepting new patients
Lynch Development, P.C. Optometrist PastSince Feb 7, 2001 Accepting new patients

Locations

402 W Washington St
Cuba, MO 65453
Phone (573) 885-2323

10738 Business 21
Hillsboro, MO 63050
Phone (636) 543-2328

2681 Highway K
O Fallon, MO 63368
Phone (636) 978-5555

3013 Winghaven Blvd
O Fallon, MO 63368
Phone (636) 561-3937

9979 Winghaven Blvd
Ste 210
O Fallon, MO 63368

3758 Elm St
Saint Charles, MO 63301
Phone (636) 757-3553

3821 Veterans Memorial Pkwy
Saint Peters, MO 63376
Phone (636) 928-1111

4702 Mid Rivers Mall Dr
Saint Peters, MO 63376
Phone (636) 244-5378

853 Medical Dr
Ste 113
Wentzville, MO 63385
Phone (636) 327-8433

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1073297750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9979 WINGHAVEN BLVD STE 210",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683628",
            "telephone_number": "636-695-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 VETERANS MEMORIAL PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766416",
            "telephone_number": "636-928-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "853 Medical Dr Ste 113",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853825",
            "country_code": "US",
            "telephone_number": "636-327-8433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3013 Winghaven Blvd",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633683600",
            "country_code": "US",
            "telephone_number": "636-561-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10738 Business 21",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "MO",
            "postal_code": "630505075",
            "country_code": "US",
            "telephone_number": "636-586-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Cuba",
            "state": "MO",
            "postal_code": "654531217",
            "country_code": "US",
            "telephone_number": "573-885-2323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2681 Highway K",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633687865",
            "country_code": "US",
            "telephone_number": "636-978-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3758 Elm St",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633014336",
            "country_code": "US",
            "telephone_number": "636-757-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4702 Mid Rivers Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Cottleville",
            "state": "MO",
            "postal_code": "633762883",
            "country_code": "US",
            "telephone_number": "636-244-5378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMENT",
        "first_name": "RYAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2023020825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.