VISION GALLERY 417 LLC
NPI 1144045808
Optometrist in Springfield, MO

Q: What is Vision Gallery 417 LLC's NPI number?

The NPI number for Vision Gallery 417 LLC is 1144045808. It was assigned to this organization in the NPPES registry on November 18, 2024.

Q: What is Vision Gallery 417 LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since November 18, 2024

1961 S GLENSTONE AVE, SPRINGFIELD, MO 65804(417) 323-2448 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Vision Gallery 417 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISION GALLERY 417 LLC (NPI 1144045808) is a healthcare organization registered as an optometrist in Springfield, Missouri and active in the NPI registry since November 2024. The organization lists Summer Williamson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1144045808

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameVISION GALLERY 417 LLC

Location Address1961 S GLENSTONE AVESpringfield, MO 65804-2304

Mailing Address2042 S Celebration AveSpringfield, MO 65809-3529 · (417) 323-2448

Phone(417) 323-2448

Organization SubpartNo

Authorized OfficialSummer WilliamsonSole Member · (417) 323-2448

Enumeration DateNovember 18, 2024

NPPES CertifiedNovember 18, 2024

✔ NPI 1144045808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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.

1961 S GLENSTONE AVE, Springfield, MO 65804

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vision Gallery 417 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vision Gallery 417 LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Summer Williamson

Optometry

NPI 1447400668

1090 ARNOLD DR
Little Rock Air Force Base, AR 72099

(501) 987-8702

✔ PECOS✔ Accepts Medicare169 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vision Gallery 417 LLC's NPI number?

The NPI number for Vision Gallery 417 LLC is 1144045808. It was assigned to this organization in the NPPES registry on November 18, 2024.

Where is Vision Gallery 417 LLC located?

Vision Gallery 417 LLC is located at 1961 S Glenstone Ave, Springfield, MO 65804. The listed phone number is (417) 323-2448.

What is Vision Gallery 417 LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Vision Gallery 417 LLC enrolled in Medicare?

Yes. Vision Gallery 417 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vision Gallery 417 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Vision Gallery 417 LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vision Gallery 417 LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Vision Gallery 417 LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vision Gallery 417 LLC was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.