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: August 02, 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
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

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
126 S MAIN ST
DE SOTO, MO 63020
Optometrist
126 S MAIN ST
DE SOTO, MO 63020
Optometrist
126 S MAIN ST
DE SOTO, MO 63020

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.

What insurance does Desoto Vision Care LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 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 8 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.