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DESOTO VISION CARE LLC
NPI 1356161509
Eyewear Supplier in De Soto, MO

Active since October 14, 2024
126 S MAIN ST, DE SOTO, MO 63020(636) 586-5406(636) 586-1969 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Desoto Vision Care Llc NPPES

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

DESOTO VISION CARE LLC (NPI 1356161509) is a healthcare organization registered as an eyewear supplier in De Soto, Missouri and active in the NPI registry since October 2024. The organization lists Charles W Pelton, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1356161509
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDESOTO VISION CARE LLC
Location Address126 S MAIN STDe Soto, MO 63020-2104
Mailing Address126 S Main StDe Soto, MO 63020-2104 · (636) 586-5406 · Fax (636) 586-1969
Phone(636) 586-5406
Fax(636) 586-1969
Organization SubpartNo
Authorized OfficialCharles W PeltonOptometrist · (636) 586-5406
Enumeration DateOctober 14, 2024
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1356161509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometristTaxonomy 152W00000X
126 S MAIN ST, De Soto, MO 63020
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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)

Desoto Vision Care 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 Desoto Vision Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Pelton, O.D.
Optometry
NPI 1962767665
126 S MAIN ST
De Soto, MO 63020
(636) 586-5406
✔ PECOS✔ Accepts Medicare0.1 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 Desoto Vision Care LLC's NPI number?

The NPI number for Desoto Vision Care LLC is 1356161509. It was assigned to this organization in the NPPES registry on October 14, 2024.

Where is Desoto Vision Care LLC located?

Desoto Vision Care LLC is located at 126 S Main St, De Soto, MO 63020. The listed phone number is (636) 586-5406.

What is Desoto Vision Care LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Desoto Vision Care LLC enrolled in Medicare?

Yes. Desoto Vision Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desoto Vision Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Desoto Vision Care 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 Desoto Vision Care LLC 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 5 other insurers list Desoto Vision Care 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 Desoto Vision Care LLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.