SUCCESS VISION EYECARE OF CAPE, LLC
NPI 1417428509
Optometrist in Cape Girardeau, MO

Active since December 16, 2018
3019 WILLIAM ST STE 102, CAPE GIRARDEAU, MO 63703(918) 895-1700 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2026, Sep 7, 2021, Dec 28, 2018 and 1 more (4 updates tracked since 2018).

About Success Vision Eyecare Of Cape, Llc NPPES

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

SUCCESS VISION EYECARE OF CAPE, LLC (NPI 1417428509), doing business as Success Vision Eyecare Of Cape, is a healthcare organization registered as an optometrist in Cape Girardeau, Missouri and active in the NPI registry since December 2018. The organization lists Caleb Tanck, Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1417428509
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSUCCESS VISION EYECARE OF CAPE, LLC
Location Address3019 WILLIAM ST STE 102Cape Girardeau, MO 63703-6385
Mailing Address5312 W 41st StTulsa, OK 74107-6110 · (918) 895-1700
Organization SubpartNo
Authorized OfficialCaleb TanckInsurance Manager · (539) 476-2015
Enumeration DateDecember 16, 2018
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1417428509 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.
3019 WILLIAM ST STE 102, Cape Girardeau, MO 63703

Other Names 1

Doing Business AsSuccess Vision Eyecare Of Cape

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Success Vision Eyecare Of Cape, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1447506381
3019 WILLIAM ST STE 102
Cape Girardeau, MO 63703
(573) 339-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1275648677
3019 WILLIAM STREET SUITE 102
Cape Girardeau, MO 63703
(573) 339-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1013754472
3019 WILLIAM ST STE 102
Cape Girardeau, MO 63703
(573) 335-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1437153772
675 OLD BALLAS RD STE 220
Saint Louis, MO 63141
(314) 997-3937
✔ PECOS106 mi
Optometry
NPI 1609868140
901 E 3RD ST
Washington, MO 63090
(636) 390-3999
✔ PECOS118 mi
Optometry
NPI 1588096432
1901 W UNIVERSITY BLVD
Durant, OK 74701
(580) 920-2020
✔ PECOS✔ Accepts Medicare446 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 Cape, LLC's NPI number?

The NPI number for Success Vision Eyecare Of Cape, LLC is 1417428509. It was assigned to this organization in the NPPES registry on December 16, 2018. The provider is doing business as Success Vision Eyecare of Cape.

Where is Success Vision Eyecare Of Cape, LLC located?

Success Vision Eyecare Of Cape, LLC is located at 3019 William St Ste 102, Cape Girardeau, MO 63703. The listed phone number is (918) 895-1700.

What is Success Vision Eyecare Of Cape, LLC's specialty?

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

Is Success Vision Eyecare Of Cape, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Success Vision Eyecare Of Cape, 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Success Vision Eyecare Of Cape, 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 3 other insurers list Success Vision Eyecare Of Cape, 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 Cape, LLC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.