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).
✓ Active NPI ✓ Valid NPI checksum
| 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.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-03-30.