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

Thebe Bagwasi

Individual provider Corneal and Contact Management Optometrist · NPI 1124037320

Thebe Bagwasi is an Optometry in Saint Charles, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
23
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
IL, MO
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2100 Collier Corporate Pkwy
Saint Charles, MO 63303-6708
Phone: (636) 410-8285
Fax: (636) 410-8397
Show map & directions

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

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence 2004003244 (MO)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 046009635 (IL)

Record details

NPI number1124037320
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address2100 Collier Corporate Pkwy, Saint Charles, MO 63303-6708

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 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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