Taylor Wolkart, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011830 Issued in IL

Practice address

705 Insight Ave
O Fallon, IL 62269-2146

Phone

(618) 391-1660

Fax

(618) 861-6003

NPI assigned

Jul 14, 2021

Last updated

Dec 11, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, IL, MO3 enrollments

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 3

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ideal Eye Surgery LLCGroup PAC ID 7315200888, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.55 of 100Reported as group

Quality

86

Promoting interoperability

100

Improvement activities

40

Cost

75.84

Merit-based Incentive Payment System (MIPS)

Final score

91.67 of 100Reported as group

Quality

100

Improvement activities

40

Cost

72.25

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.

• Ideal Eye Surgery LLC

  • Ophthalmology Physician
  • O'Fallon, IL
  • NPI 1366966186

  MO

  Medicare reassignment Care Compare group NPD
• Bay Eyes Cataract and Laser Center, Inc.

  dba Southern Eye Group of Alabama

  • Optometrist
  • Fairhope, AL
  • NPI 1396884227
  Medicare reassignment NPD
• Retina Consultants, LLC

  dba The Retina Institute

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1700175395
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1831761360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 INSIGHT AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692146",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 INSIGHT AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692146",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12400 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631415454",
            "country_code": "US",
            "telephone_number": "314-391-9400",
            "fax_number": "618-861-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Taylorville",
            "state": "IL",
            "postal_code": "625681562",
            "country_code": "US",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Temple Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012121",
            "country_code": "US",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLKART",
        "first_name": "TAYLOR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2024020546",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachariah Wisnasky, RN
• Jacob Samuel Witt, M.D.
• Rebecca Jane Wittmann, RN
• Kathleen Mary Wolf, MS. CCC-SLP
• Mary Suzanne Wolfenbarger, LCSW
• Sloane Miranda Wolter, LCSW
• Benjamin F Wood, MD
• Laurie Ann Wood, DT
• Dominique Woodhouse
• Dina Breanne Maxine Woodworth

• Optometrist in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.