DESLOGE VISION CENTER INC
NPI 1720128846
Eyewear Supplier in Desloge, MO
About Desloge Vision Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESLOGE VISION CENTER INC (NPI 1720128846) is a healthcare organization registered as an eyewear supplier in Desloge, Missouri and active in the NPI registry since February 2007. The organization lists Mona J Spiker, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Desloge Vision Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Desloge Vision Center Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (11)
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 Desloge Vision Center Inc's NPI number?
The NPI number for Desloge Vision Center Inc is 1720128846. It was assigned to this organization in the NPPES registry on February 7, 2007.
Where is Desloge Vision Center Inc located?
Desloge Vision Center Inc is located at 1136 N Desloge Dr Ste C, Desloge, MO 63601. The listed phone number is (573) 518-0001.
What is Desloge Vision Center Inc's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Desloge Vision Center Inc enrolled in Medicare?
Yes. Desloge Vision Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Desloge Vision Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Optometry, reassign their Medicare billing to Desloge Vision Center Inc. 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 Desloge Vision Center Inc 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 Desloge Vision Center Inc 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 Desloge Vision Center Inc was last updated on August 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Desloge Vision Center Inc · NPI 1720128846
Eyewear Supplier organization in Desloge, Missouri. Organization record, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1720128846 (Entity type: Organization)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Organization subpart:** No
- **Authorized official:** Mona Spiker, OFFICE MANAGER
## Practice location
- **Address:** 1136 N DESLOGE DR STE C, Desloge, MO 63601-2900
- **Phone:** (573) 518-0001 · **Fax:** (573) 518-0081
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2008
- **Other identifiers:** Medicare NSC 1234610001 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1720128846) · Data from the CMS NPPES public registry.