PG OPTICAL LLC
NPI 1447950183
Optometrist in Rolla, MO

Q: What is Pg Optical LLC's NPI number?

The NPI number for Pg Optical LLC is 1447950183. It was assigned to this organization in the NPPES registry on March 9, 2023.

Q: What is Pg Optical LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pg Optical LLC was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 09, 2023

306 N BISHOP AVE STE B, ROLLA, MO 65401(573) 426-6779 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2023, Mar 9, 2023 (2 updates tracked since 2023).

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About Pg Optical Llc NPPES

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

PG OPTICAL LLC (NPI 1447950183) is a healthcare organization registered as an optometrist in Rolla, Missouri and active in the NPI registry since March 2023. The organization lists Kevin Gardner, Owner, as its authorized official.

NPPES Registry Identity

NPI1447950183

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePG OPTICAL LLC

Location Address306 N BISHOP AVE STE BRolla, MO 65401-2953

Mailing Address306 N Bishop Ave Ste BRolla, MO 65401-2953 · (573) 426-6779

Phone(573) 426-6779

Organization SubpartNo

Authorized OfficialKevin GardnerOwner · (573) 426-6779

Enumeration DateMarch 9, 2023

Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration

NPPES CertifiedNovember 20, 2023

✔ NPI 1447950183 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.

306 N BISHOP AVE STE B, Rolla, MO 65401

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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 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)

Pg Optical 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 Pg Optical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michele Haley, O.D.

Optometry

NPI 1144333675

323 MONROE ST
Jefferson City, MO 65101

(573) 635-1313

✔ PECOS49 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 Pg Optical LLC's NPI number?

The NPI number for Pg Optical LLC is 1447950183. It was assigned to this organization in the NPPES registry on March 9, 2023.

Where is Pg Optical LLC located?

Pg Optical LLC is located at 306 N Bishop Ave Ste B, Rolla, MO 65401. The listed phone number is (573) 426-6779.

What is Pg Optical LLC's specialty?

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

Is Pg Optical LLC enrolled in Medicare?

Yes. Pg Optical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pg Optical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Pg Optical 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 Pg Optical 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 6 other insurers list Pg Optical 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 Pg Optical LLC was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.