Individual provider Active NPI

Samantha Wright

  • Optometrist
  • Saint Peters, MO
National Provider Identifier
1902647639
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2024023538 Issued in MO
Practice address
1401 Triad Center Dr
Saint Peters, MO 63376-7353
Phone
(636) 441-8010
Fax
(636) 441-5128
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 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 2024023538 MO Primary

Addresses

Primary practice location

1401 Triad Center Dr
Saint Peters, MO 63376-7353

Mailing address

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

Other practice location 1

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

Other practice location 2

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

Other practice location 3

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

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
I20240717001233 MO Practitioner - Optometry 5890230593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2024
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)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Associates, Inc. Optometrist CurrentSince Jun 18, 2024 Accepting new patients
Palombi Vision Center PC Past 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

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, 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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1902647639",
    "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": "1401 TRIAD CENTER DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767353",
            "telephone_number": "636-441-8010",
            "fax_number": "636-441-5128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Wentzville Pkwy Ste 119",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853476",
            "country_code": "US",
            "telephone_number": "636-639-9422",
            "fax_number": "636-639-6713",
            "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2024023538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.