NPI Portal NPI Lookup & Verification

Dr. Matthew David Wickham, OD

Dr. Matthew David Wickham is a Optometrist provider (Optometrist) practicing in O Fallon, MO, registered in the NPPES registry with NPI 1083695803 since 2005. The credential OD stands for Doctor of Optometry. Practices at Regional Eyecare Associates Inc (listed at the same practice address in NPPES).

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NPI 1083695803
Entity type Individual (Type 1)
Name Dr. Matthew David Wickham
Credential OD
Sex Male
Practice address 3013 WINGHAVEN BLVD, O Fallon, MO, 63368
Phone 6365613937
Fax 6365614068
Enumeration date 2005-11-09
Last updated in NPPES 2012-03-30

Taxonomy & licenses

Taxonomy code Specialty Primary License State
152W00000X Optometrist Primary T03134 MO

OD — Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Copy-ready billing details
Provider: Matthew Wickham, OD
NPI: 1083695803
Taxonomy: 152W00000X (Optometrist)
Address: 3013 WINGHAVEN BLVD, O Fallon, MO, 63368

Other providers at this practice address

NPI Name Type Specialty Location
1295652303 Alison Mccombs-Buchanan Individual Optometrist O Fallon, MO
1043380652 Regional Eyecare Associates Inc Organization Optometrist O Fallon, MO
1417085820 Kathleen Avery Individual Optometrist O Fallon, MO
1700268281 Jenna Osseck Individual Optometrist O Fallon, MO
1992290886 Samantha Holland Individual Optometrist O Fallon, MO
1386361319 Paige Blankenheim Individual Optometrist O Fallon, MO
1396634986 Abigail Martin Individual Optometrist O Fallon, MO

Verify this record

Cross-check NPI 1083695803 against the authoritative CMS record: view Dr. Matthew David Wickham on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Matthew Wickham?
Matthew Wickham is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-03-30.