NPPES file of Aug 9, 2026

Matthew David Wickham, OD

Optometrist · O Fallon, MO

Matthew David Wickham, OD is an optometrist with a practice address in O Fallon, Missouri, and NPI 1083695803, issued on Nov 9, 2005. Check the license (Missouri T03134, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083695803
Name
Matthew David Wickham
Credential
OD
Primary taxonomy
Optometrist 152W00000X
License number
T03134 MO
Self-reported in NPPES; status is on the state search
Practice location
3013 Winghaven Blvd, O Fallon, MO 63368
Phone
(636) 561-3937
Enumerated
Nov 9, 2005
Record last updated
Mar 30, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(636) 561-4068
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 3013 Winghaven Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kathleen Avery, O.D.Optometrist1417085820
  2. Paige Blankenheim, ODOptometrist1386361319
  3. Samantha Holland, ODOptometrist1992290886
  4. Abigail Martin, ODOptometrist1396634986
  5. Alison McCombs-BuchananOptometrist1295652303
  6. Jenna Osseck, O.D.Optometrist1700268281

Verify Matthew David Wickham in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license T03134
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Industry payments in 2024: $19.89

1 payment: food and beverage; the largest payer was Bausch & Lomb Americas Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Matthew Wickham$19.89
  2. Specialty average$769.99

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Matthew David Wickham among 1,242 optometrist records in Missouri

Matthew David Wickham, OD is one of 1,242 optometrist records with a practice address in Missouri. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 85% newer
  • In a Medicare fileYes · 73% of these records are
  • In the CMS Doctors and Clinicians fileNo · 62% of these records are
  • Record last updated2012 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

26 optometrist records list a practice address in O Fallon

They are 26 of the 1,225 NPPES records with a practice address in O Fallon, and 1,242 optometrist records in Missouri.

The 8 optometrist records with the nearest ZIP codes

  1. Kathleen Avery, O.D.O Fallon, MO 633681417085820
  2. Stephen Bollinger, O.D.O Fallon, MO 633681003296120
  3. Stephen Cusumano, O.D.O Fallon, MO 633681831192533
  4. Tuyet Doan, O.D.O Fallon, MO 633681578569653
  5. Joseph Hegyi, O.D.O Fallon, MO 633681649263856
  6. Samantha Holland, ODO Fallon, MO 633681992290886
  7. Jeffrey Lant, O.D.O Fallon, MO 633681710241583
  8. Sneha Lin, O.D.O Fallon, MO 633681215138805

Common questions

What is Matthew David Wickham, OD's NPI number?

Matthew David Wickham, OD's National Provider Identifier (NPI) is 1083695803, issued on Nov 9, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Matthew David Wickham, OD located?

The NPPES record lists a practice address at 3013 Winghaven Blvd, O Fallon, MO, 63368. Phone: (636) 561-3937. Providers update this record themselves, so call before visiting.

How can I verify Matthew David Wickham, OD's license?

NPPES lists Missouri license number T03134, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.