Organization
REGIONAL EYECARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M MACKEY OD (OD VP)
(636) 561-3937
Entity
Organization
Contact information
Practice address
3013 WINGHAVEN BLVD, O FALLON, MO 63368-3600
(636) 561-3937
(636) 561-4068
Mailing address
3013 WINGHAVEN BLVD, O FALLON, MO 63368-3600
(636) 561-3937
(636) 561-4068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2003015589
MO
152W00000X
Optometrist
T03118
MO
152W00000X
Optometrist
Primary
T03134
MO
Other
Enumeration date
11/09/2006
Last updated
10/20/2025
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