Mark Alan Wilkins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2012017715 Issued in MO

Practice address

4702 Mid Rivers Mall Dr
Cottleville, MO 63376-2883

Phone

(636) 244-5378

Fax

(636) 561-3937

NPI assigned

Jul 3, 2012

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wilkins Eyecare LLC

  • Optometrist
  • Ballwin, MO
  • NPI 1982568192
  Medicare reassignment NPD Authorized official
• Success Vision Eyecare of Maplewood LLC

  dba Success Vision Eyecare of Maplewood

  • Optometrist
  • Saint Louis, MO
  • NPI 1497441265
  Medicare reassignment NPD
• Success Vision Eyecare of Chesterfield LLC

  • Optometrist
  • Chesterfield, MO
  • NPI 1225990419
  Medicare reassignment
• Regional Eyecare Associates Inc

  • Optometrist
  • O'Fallon, MO
  • NPI 1043380652
  NPD

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1538423769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LYNWOOD FOREST DR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630215511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 MID RIVERS MALL DR",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633762883",
            "telephone_number": "636-244-5378",
            "fax_number": "636-561-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Meramec Bluffs Dr",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630213309",
            "country_code": "US",
            "telephone_number": "314-502-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012017715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maclane Wilson
• Kaitlyn Renee Witte, BCBA LBA

• Optometrist in Cottleville, MO
• Providers in Cottleville, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.

Verify at the official NPI Registry.