Organization Active NPI

Keeton Vision Care Inc

  • Optometrist
  • Saint Peters, MO
National Provider Identifier
1942392410
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KEETON VISION CARE INC
Practice address
5901 Mexico Rd
Saint Peters, MO 63376-1613
Phone
(636) 498-2020
Fax
(636) 498-0500
NPI assigned
Sep 29, 2006
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Dirk F MassieNPI 1972510345
Title
Owner/Optometrist
Phone
(618) 502-0255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5901 Mexico Rd
Saint Peters, MO 63376-1613

Mailing address

5901 Mexico Rd
Saint Peters, MO 63376-1613
Phone (636) 498-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111110000826 MO Part B Supplier - Clinic/Group Practice 1052432507 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Peters, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1942392410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761613",
            "telephone_number": "636-498-2020",
            "fax_number": "636-498-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761613",
            "telephone_number": "636-498-2020",
            "fax_number": "636-498-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEETON VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "618-502-0255"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.