Individual provider Active NPI

Carli Jo Hays

  • Optometrist
  • Wentzville, MO
National Provider Identifier
1902471758
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2021020743 Issued in MO
Practice address
1155 Wentzville Pkwy Ste 119
Wentzville, MO 63385-3476
Phone
(636) 639-9422
Fax
(636) 639-6713
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 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 2021020743 MO Primary

Addresses

Primary practice location

1155 Wentzville Pkwy Ste 119
Wentzville, MO 63385-3476

Mailing address

1401 Triad Center Dr
Saint Peters, MO 63376-7353
Phone (636) 441-8010

Other practice location 1

1401 Triad Center Dr
Saint Peters, MO 63376-7353
Phone (636) 441-8010

Other practice location 2

1384 S 5th St
Saint Charles, MO 63301-2444
Phone (636) 946-9242

Other practice location 3

12392 Olive Blvd
Creve Coeur, MO 63141-6443
Phone (314) 878-8770

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
I20210616001374 MO Practitioner - Optometry 3375943178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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
Midwest Eye Associates, Inc.Group PAC ID 3870651508, 9 clinicians

Practice addresses (Care Compare)

1155 Wentzville Pkwy
Suite 119
Wentzville, MO 63385-3476
Phone (636) 639-9422

1384 S 5TH St
Saint Charles, MO 63301-2444
Phone (636) 946-9242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021020743MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Associates, Inc. Optometrist CurrentSince Jun 7, 2021 Accepting new patients
Palombi Vision Center PC PastSince Dec 28, 2025 Accepting new patients

Locations

1324 Clarkson Clayton Ctr
Ellisville, MO 63011
Phone (314) 735-5015

1384 S 5th St
Saint Charles, MO 63301
Phone (636) 946-9242

12392 Olive Blvd
Saint Louis, MO 63141
Phone (314) 878-8770

1401 Triad Center Dr
Saint Peters, MO 63376
Phone (636) 441-8010

1325 Queens Ct
Ste G
Saint Peters, MO 63376
Phone (636) 441-8010

1155 Wentzville Pkwy
Ste 119
Wentzville, MO 63385
Phone (636) 639-9422

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1902471758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 TRIAD CENTER DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767353",
            "telephone_number": "636-441-8010",
            "fax_number": "636-441-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WENTZVILLE PKWY STE 119",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853476",
            "telephone_number": "636-639-9422",
            "fax_number": "636-639-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Triad Center Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633767353",
            "country_code": "US",
            "telephone_number": "636-441-8010",
            "fax_number": "636-441-5128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1384 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633012444",
            "country_code": "US",
            "telephone_number": "636-946-9242",
            "fax_number": "636-946-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12392 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631416443",
            "country_code": "US",
            "telephone_number": "314-878-8770",
            "fax_number": "314-878-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYS",
        "first_name": "CARLI",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2021020743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

Verify at the official NPI Registry.