Individual Healthcare Provider
Tyler Wayne Mathenia
Provider's NPPES record last updated: June 27, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1033895131
- Primary Specialty
- Optometrist
- Practice Location
- Warrenton, Missouri
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 6:11 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Optometrist
Eye and Vision Services Providers
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Taxonomy code 152W00000X
Provider-Reported License Information
- Optometrist (Missouri)
- 2023021529
Practice Locations
Practice Location
514 Warrenton County Center
Warrenton, Missouri 63383
Phone: (636) 377-2054
Additional Practice Location
933 Highway K
O Fallon, Missouri 63366-2910
Phone: (636) 379-4288
Fax: (636) 272-2765
Additional Practice Location
83 the Plz
Troy, Missouri 63379-1365
Phone: (636) 462-3958
Fax: (636) 462-3957
Additional Practice Location
390 Mid Rivers Mall Dr
Saint Peters, Missouri 63376-1565
Phone: (636) 279-2020
Fax: (636) 279-1055
Additional Practice Location
6313 Ronald Reagan Dr
Lake St Louis, Missouri 63367-2681
Phone: (636) 561-2342
Fax: (636) 561-2362
Additional Practice Location
1894 Wentzville Pkwy
Wentzville, Missouri 63385-3820
Phone: (636) 887-4000
Fax: (636) 887-4095
Additional Practice Location
230 N Lindbergh Blvd
Florissant, Missouri 63031-5904
Phone: (314) 921-9377
Fax: (314) 830-2940
Additional Practice Location
2946 Highway K
O Fallon, Missouri 63368-7861
Phone: (636) 240-1516
Additional Practice Location
2121 Zumbehl Rd
Saint Charles, Missouri 63303-2724
Phone: (636) 949-2906
Fax: (636) 949-2914
Record Information
- Enumeration Date
- June 23, 2023
- Provider's NPPES Record Last Updated
- June 27, 2023
- Certification Date
- June 27, 2023
- NPISignal NPPES Dataset
- August 2026
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