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SUCCESS VISION EYECARE OF CHESTERFIELD LLC
NPI 1225990419
Optometrist in Chesterfield, MO

Active since November 26, 2025
2 THF BLVD, CHESTERFIELD, MO 63005(314) 934-2020(314) 806-2020 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2025, Nov 26, 2025 (2 updates tracked since 2025).

About Success Vision Eyecare Of Chesterfield Llc NPPES

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

SUCCESS VISION EYECARE OF CHESTERFIELD LLC (NPI 1225990419) is a healthcare organization registered as an optometrist in Chesterfield, Missouri and active in the NPI registry since November 2025. The organization lists Caleb Tanck, Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1225990419
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSUCCESS VISION EYECARE OF CHESTERFIELD LLC
Location Address2 THF BLVDChesterfield, MO 63005-1150
Mailing Address5312 W 41st StTulsa, OK 74107-6110 · (539) 476-2015 · Fax (877) 464-4002
Phone(314) 934-2020
Fax(314) 806-2020
Organization SubpartNo
Authorized OfficialCaleb TanckInsurance Manager · (539) 476-2015
Enumeration DateNovember 26, 2025
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1225990419 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.
2 THF BLVD, Chesterfield, MO 63005
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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.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)

Success Vision Eyecare Of Chesterfield Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Success Vision Eyecare Of Chesterfield LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Theodore Sullivan, O.D.
Optometry
NPI 1437153772
675 OLD BALLAS RD STE 220
Saint Louis, MO 63141
(314) 997-3937
✔ PECOS7.8 mi
Paige Blankenheim, OD
Optometry
NPI 1386361319
3013 WINGHAVEN BLVD
O Fallon, MO 63368
(636) 561-3937
✔ PECOS✔ Accepts Medicare11 mi
Richard Presley, OD
Optometry
NPI 1598823734
7472 E ADMIRAL PL
Tulsa, OK 74115
(918) 794-9029
✔ PECOS✔ Accepts Medicare339 mi
Andrew Whitley, O.D.
Optometry
NPI 1588096432
1901 W UNIVERSITY BLVD
Durant, OK 74701
(580) 920-2020
✔ PECOS✔ Accepts Medicare456 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 Success Vision Eyecare Of Chesterfield LLC's NPI number?

The NPI number for Success Vision Eyecare Of Chesterfield LLC is 1225990419. It was assigned to this organization in the NPPES registry on November 26, 2025.

Where is Success Vision Eyecare Of Chesterfield LLC located?

Success Vision Eyecare Of Chesterfield LLC is located at 2 Thf Blvd, Chesterfield, MO 63005. The listed phone number is (314) 934-2020.

What is Success Vision Eyecare Of Chesterfield LLC's specialty?

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

Is Success Vision Eyecare Of Chesterfield LLC enrolled in Medicare?

Yes. Success Vision Eyecare Of Chesterfield LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Success Vision Eyecare Of Chesterfield LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Success Vision Eyecare Of Chesterfield 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Success Vision Eyecare Of Chesterfield LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Success Vision Eyecare Of Chesterfield 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 Success Vision Eyecare Of Chesterfield LLC was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.