Individual provider Active NPI

Jenna Osseck, O.D.

  • Optometrist
  • O'Fallon, MO
National Provider Identifier
1700268281
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2015019887 Issued in MO
Practice address
3013 Winghaven Blvd
O Fallon, MO 63368-3600
Phone
(636) 561-3937
Fax
(636) 561-3937
NPI assigned
Jun 22, 2015
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
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 2015019887 MO Primary

Addresses

Primary practice location

3013 Winghaven Blvd
O Fallon, MO 63368-3600

Mailing address

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

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
I20150805007604 MO Practitioner - Optometry 0648584573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2015
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)

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

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 Sep 1, 2019 Accepting new patients
Ophthalmology Consultants, LLC PastSince Jun 25, 2015 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

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1700268281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 WINGHAVEN BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683600",
            "telephone_number": "636-561-3937",
            "fax_number": "636-561-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 WINGHAVEN BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683600",
            "telephone_number": "636-561-3937",
            "fax_number": "636-561-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSECK",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2015019887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.