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

Dr. Peter Damien Jacques, OD

Individual provider Optometrist · NPI 1558904409

Dr. Peter Damien Jacques, OD is an Optometry in Wildwood, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2019
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

16972 Manchester Rd
Wildwood, MO 63040-1200
Phone: (636) 477-5187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2019039864 (MO)

Record details

NPI number1558904409
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 23, 2019
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021
Mailing address16972 Manchester Rd, Wildwood, MO 63040-1200

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 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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