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

Dr. Jonathan Tyler Thayer, OD

Individual provider Optometrist · NPI 1124718689

Dr. Jonathan Tyler Thayer, OD is an Optometry in Wentzville, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2024, 2 years ago. Practices with Clarkson Optometry Inc, a 82-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2023
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1894 Wentzville Pkwy
Wentzville, MO 63385-3820
Phone: (636) 887-4000
Fax: (636) 887-4095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6313 Ronald Reagan Dr, Lake St Louis, MO 63367-2681 — (636) 561-2342
  • 390 Mid Rivers Mall Dr, Saint Peters, MO 63376-1565 — (636) 279-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2024019038 (MO)

Record details

NPI number1124718689
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address15933 Clayton Rd, Ballwin, MO 63011-2172

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Clarkson Optometry Inc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wentzville