Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wildwood Vision Specialists LLC

Organization Optometrist · NPI 1174806301

Wildwood Vision Specialists LLC is an Optometrist in Wildwood, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2751 Fountain Pl Ste 2
Wildwood, MO 63040-1202
Phone: (314) 583-1548
Fax: (636) 273-3918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2011018560 (MO)
Optometrist Taxonomy 152W00000X · Licence 2011018556 (MO)

Record details

NPI number1174806301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Hayes — Managing Optometrist · (314) 583-1548
NPI enumeratedSeptember 23, 2011
Last updated in NPPESJune 24, 2013
Mailing address2751 Fountain Pl, Suite 2, Wildwood, MO 63040-1202

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