Individual provider Active NPI

Darci Lea Hunter Prewitt, O.D.

  • Optometrist
  • Des Peres, MO
National Provider Identifier
1083643753
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03265 Issued in MO
Practice address
102A W County Ctr
Des Peres, MO 63131-3725
Phone
(314) 966-6593
Fax
(314) 984-0224
NPI assigned
Jul 3, 2006
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009909 IL
Optometrist 152W00000X T03265 MO Primary

Addresses

Primary practice location

102A W County Ctr
Des Peres, MO 63131-3725

Mailing address

123A S.County Center Way
St. Louis, MO 63129
Phone (314) 416-7588

Other identifiers 3

IdentifierTypeStateIssuer
000025571OtherMOMEDICARE ID TYPE UNSPECIFIED
255715282OtherILMEDICARE IDENTIFIER
1083643753OtherMONPI

Other names 1

  • Darci Lea Hunter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20210518001054 IL Practitioner - Optometry 3779676374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009909ILMDOptometrist
T03265MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Eye Care Center Optometrist CurrentSince Feb 10, 2021 Accepting new patients
Luxottica Retail North America Inc Optometrist Past Accepting new patients
Pearle Vision Inc Past Accepting new patients

Locations

10900 Lincoln Trl
Fairview Hts, IL 62208
Phone (618) 398-5005

Organizations & group practices 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1083643753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123A S.COUNTY CENTER WAY",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63129",
            "telephone_number": "314-416-7588",
            "fax_number": "314-416-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102A W COUNTY CTR",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631313725",
            "telephone_number": "314-966-6593",
            "fax_number": "314-984-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "DARCI",
        "middle_name": "LEA HUNTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009909",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  ID TYPE UNSPECIFIED",
            "identifier": "000025571",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFIER",
            "identifier": "255715282",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083643753",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARCI",
            "last_name": "HUNTER",
            "middle_name": "LEA",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Peres, MO

Sources for this page

Verify at the official NPI Registry.