ENVISION EYE SPECIALISTS PC
NPI 1205072360
Ophthalmology in Fenton, MO

Active since December 19, 2008
1011 BOWLES AVE, SUITE 200, FENTON, MO 63026(636) 717-1700(636) 203-4727 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Envision Eye Specialists Pc NPPES

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

ENVISION EYE SPECIALISTS PC (NPI 1205072360) is a healthcare organization registered as an ophthalmology in Fenton, Missouri and active in the NPI registry since December 2008. The organization lists Kathy J Albert, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1205072360
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameENVISION EYE SPECIALISTS PC
Location Address1011 BOWLES AVE, SUITE 200Fenton, MO 63026-2387
Mailing Address1011 Bowles Ave, Suite 200Fenton, MO 63026-2387 · (636) 717-1700 · Fax (636) 203-4727
Fax(636) 203-4727
Organization SubpartNo
Authorized OfficialKathy J AlbertPractice Manager · (636) 717-1700
Enumeration DateDecember 19, 2008
Last NPPES UpdateApril 28, 2015
✔ NPI 1205072360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MO · 2005009915
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1011 BOWLES AVE, Fenton, MO 63026

Other Identifiers 2

Medicare PINMA1515MO
Medicare PINMA1516MO

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Envision Eye Specialists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20090210000052Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Envision Eye Specialists PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Optometry
NPI 1821640517
1011 BOWLES AVE STE 200
Fenton, MO 63026
(636) 717-1700
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1528697448
1011 BOWLES AVE STE 200
Fenton, MO 63026
(636) 717-1700
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1437127065
1011 BOWLES AVE SUITE 415
Fenton, MO 63026
(636) 717-1700
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1700870284
1011 BOWLES AVE SUITE 200
Fenton, MO 63026
(636) 717-1700
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1508020645
1011 BOWLES AVE SUITE 415
Fenton, MO 63026
(636) 717-1700
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1982018594
608 STANTON L YOUNG BLVD
Oklahoma City, OK 73104
(405) 271-6060
✔ PECOS✔ Accepts Medicare442 mi
Optometry
NPI 1588289474
200 MINOR HALL
Berkeley, CA 94720
(510) 642-2020
✔ PECOS✔ Accepts Medicare1,722 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 Envision Eye Specialists PC's NPI number?

The NPI number for Envision Eye Specialists PC is 1205072360. It was assigned to this organization in the NPPES registry on December 19, 2008.

Where is Envision Eye Specialists PC located?

Envision Eye Specialists PC is located at 1011 Bowles Ave Suite 200, Fenton, MO 63026. The listed phone number is (636) 717-1700.

What is Envision Eye Specialists PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Envision Eye Specialists PC enrolled in Medicare?

Yes. Envision Eye Specialists PC is registered in the Medicare PECOS enrollment system.

When is Envision Eye Specialists PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Envision Eye Specialists PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Envision Eye Specialists PC. 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. The largest specialties are Ophthalmology (4) and Optometry (3). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Envision Eye Specialists PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 7 other insurers list Envision Eye Specialists PC 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 Envision Eye Specialists PC was last updated on April 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.