VISION CLINIC PC
NPI 1740206911
Optometrist in Nixa, MO

Active since July 14, 2006
413 N MCCROSKEY ST, NIXA, MO 65714(417) 725-0500(417) 725-0502 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vision Clinic Pc NPPES

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

VISION CLINIC PC (NPI 1740206911) is a healthcare organization registered as an optometrist in Nixa, Missouri and active in the NPI registry since July 2006. The organization lists Stephen R Rice, Owner, as its authorized official.

NPPES Registry Identity

NPI1740206911
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVISION CLINIC PC
Location Address413 N MCCROSKEY STNixa, MO 65714-9330
Mailing Address3330 S National Ave Ste 2020Springfield, MO 65807-7337 · (417) 725-0500 · Fax (417) 725-0502
Fax(417) 725-0502
Organization SubpartNo
Authorized OfficialStephen R RiceOwner · (417) 725-0500
Enumeration DateJuly 14, 2006
Last NPPES UpdateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1740206911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedEyewear SupplierTaxonomy 332H00000X
413 N MCCROSKEY ST, Nixa, MO 65714

Other Identifiers 1

Medicaid1740206911MO

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vision Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20120731000176DME · Physician - OptometristDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Vision Clinic carries, from the Medicare DMEPOS supplier directory.

Vision Clinic

DMEPOS supplier · Nixa, MOOperated by Vision Clinic PC
✔

Accepts Medicare assignment

Vision Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20653823
Medicare Participant SinceJanuary 1, 1998
Supplier Location413 N Mccroskey St Ste 1Nixa, MO 65714
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Dentist
413 N MCCROSKEY ST
NIXA, MO 65714
Physical Therapist
413 N MCCROSKEY ST, SUITE 2
NIXA, MO 65714
Point of Service
413 N MCCROSKEY ST
NIXA, MO 65714

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 Vision Clinic PC's NPI number?

The NPI number for Vision Clinic PC is 1740206911. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Vision Clinic PC located?

Vision Clinic PC is located at 413 N Mccroskey St, Nixa, MO 65714. The listed phone number is (417) 725-0500.

What is Vision Clinic PC's specialty?

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

Is Vision Clinic PC enrolled in Medicare?

Yes. Vision Clinic PC is registered in the Medicare PECOS enrollment system.

When is Vision Clinic PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Missouri, Physician - Optometrist) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Vision Clinic PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Vision Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Vision Clinic PC was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.