Dirk F Massie, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

46-9417 Issued in IL

Practice address

4111 N Illinois St
Swansea, IL 62226-7609

Phone

(618) 234-3053

Fax

(168) 234-6331

NPI assigned

Aug 1, 2006

Last updated

Aug 27, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 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 2

Specialty

Optometry

Education

Saint Louis University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pec Brighton PLLCGroup PAC ID 8022545102, 4 clinicians

Pec Warrenton LLCGroup PAC ID 1355767351, 3 clinicians

Performance Eyecare PCGroup PAC ID 2860417938, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Performance Eyecare PC

  • Optometrist
  • Swansea, IL
  • NPI 1265527394
  Medicare reassignment Care Compare group NPD Authorized official
• Pec Brighton PLLC

  dba Performance Eyecare

  • Optometrist
  • Brighton, IL
  • NPI 1689490070
  Medicare reassignment Care Compare group NPD
• Keeton Vision Care Inc

  • Optometrist
  • Saint Peters, MO
  • NPI 1942392410
  Medicare reassignment NPD Authorized official
• Massie Optometry PC

  dba Performance Eyecare

  • Optometrist
  • Saint Louis, MO
  • NPI 1255675740
  Medicare reassignment NPD Authorized official
• Pec Chesterfield, LLC

  • Optometrist
  • Ellisville, MO
  • NPI 1811500069
  Medicare reassignment NPD Authorized official
• Pec South County LLC

  dba Performance Eyecare

  • Corneal and Contact Management Optometrist
  • Saint Louis, MO
  • NPI 1295371946
  Medicare reassignment NPD Authorized official
• Pec St Peters LLC

  dba Performance Eyecare

  • Optometrist
  • Saint Peters, MO
  • NPI 1669988242
  Medicare reassignment NPD Authorized official
• Pec Warrenton LLC

  • Optometrist
  • Warrenton, MO
  • NPI 1043829088
  Medicare reassignment Care Compare group NPD
• Pec Warson, LLC

  dba Performance Eyecare

  • Optometrist
  • Saint Louis, MO
  • NPI 1063058386
  Medicare reassignment NPD Authorized official
• Pec Alton, LLC

  dba Performance Eyecare

  • Optometrist
  • Alton, IL
  • NPI 1598114001
  Medicare reassignment NPD
• Pec STG LLC

  dba Performance Eyecare

  • Optometrist
  • Ste Genevieve, MO
  • NPI 1427753862
  Medicare reassignment NPD
• Southwestern Eye Care

  • Optometrist
  • Brighton, IL
  • NPI 1801008982
  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1972510345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267609",
            "telephone_number": "618-234-3053",
            "fax_number": "168-234-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267609",
            "telephone_number": "618-234-3053",
            "fax_number": "168-234-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIE",
        "first_name": "DIRK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46-9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Craig Markarian, D.M.D., M.S.
• Ronald Curtis Markarian, D.M.D., M.S., P.C.
• Melissa Marko, AUD
• David Stewart Martin, D.C.
• Stephanie Martin
• Master Medical Care LLC
• Cody V Mathews
• John A Mattingly, MD
• Rockael Mays
• Sherangelia Raichel McClain

• Optometrist in Swansea, IL
• Providers in Swansea, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.