Individual provider Active NPI

William Sigmund, OD

  • Optometrist
  • O'Fallon, MO
National Provider Identifier
1477449726
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2025022556 Issued in MO
Practice address
1140 Tom Ginnever Ave
O Fallon, MO 63366-4530
Phone
(636) 272-1444
NPI assigned
Jun 14, 2025
Last updated
Jun 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 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 2025022556 MO Primary

Addresses

Primary practice location

1140 Tom Ginnever Ave
O Fallon, MO 63366-4530

Mailing address

1140 Tom Ginnever Ave
O Fallon, MO 63366-4530
Phone (636) 272-1444

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
I20250730001037 MO Practitioner - Optometry 3779090170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iverson-Tomasino Eyecare IncGroup PAC ID 0446327639, 4 clinicians

Practice addresses (Care Compare)

1140 Tom Ginnever Ave
O Fallon, MO 63366-4530
Phone (636) 272-1444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025022556MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Iverson-Tomasino Eyecare Inc Optometrist CurrentSince May 2, 2025 Accepting new patients
Ophthalmology Consultants, LLC PastSince May 2, 2025 Accepting new patients

Locations

1140 Tom Ginnever Ave
O Fallon, MO 63366
Phone (636) 272-1444

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": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1477449726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 TOM GINNEVER AVE",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664530",
            "telephone_number": "636-272-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 TOM GINNEVER AVE",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664530",
            "telephone_number": "636-272-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMUND",
        "first_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2025022556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.