Active NPI
Ryan Dement, OD
- Optometrist
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2023020825
- Practice address
- 3821 Veterans Memorial Pkwy
Saint Peters, MO 63376-6416 - Phone
- (636) 928-1111
- NPI assigned
- Jun 13, 2023
- Last updated
- Oct 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
853 Medical Dr
Suite 113
Wentzville, MO 63385-3825
Phone (636) 327-8433
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Eyecare Associates Inc | Optometrist | Current | Accepting new patients |
| Lynch Development, P.C. | Optometrist | Past | 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.
-
- Optometrist
- O'Fallon, MO
- NPI 1043380652
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
- 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; Order and Referring.
- 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.