VISION SOURCE EL DORADO SPRINGS
NPI 1902379266
Optometrist in El Dorado Springs, MO

Q: What is El Dorado Vision LLC's NPI number?

The NPI number for El Dorado Vision LLC is 1902379266. It was assigned to this organization in the NPPES registry on January 9, 2019. The provider is doing business as Vision Source El Dorado Springs.

Q: What is El Dorado Vision LLC's specialty?

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

Active since January 09, 2019

701 E HOSPITAL RD, EL DORADO SPRINGS, MO 64744(417) 876-6052(417) 876-3352 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 1, 2019, Jan 9, 2019 (2 updates tracked since 2019).

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About Vision Source El Dorado Springs NPPES

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

VISION SOURCE EL DORADO SPRINGS (NPI 1902379266) is a healthcare organization registered as an optometrist in El Dorado Springs, Missouri and active in the NPI registry since January 2019. The organization lists Laura B Montgomery, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1902379266

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameEL DORADO VISION LLC

Location Address701 E HOSPITAL RDEl Dorado Springs, MO 64744

Mailing Address701 E Hospital RdEl Dorado Springs, MO 64744 · (417) 876-6052 · Fax (417) 876-3352

Phone(417) 876-6052

Fax(417) 876-3352

Organization SubpartYesParent: El Dorado Vision, Llc

Authorized OfficialLaura B MontgomeryOwner/optometrist · (417) 777-9000

Enumeration DateJanuary 9, 2019

Last NPPES UpdateApril 1, 20192 updates tracked since enumeration

✔ NPI 1902379266 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.

701 E HOSPITAL RD, El Dorado Springs, MO 64744

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Other Names 1

Doing Business AsVision Source El Dorado Springs

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)

Vision Source El Dorado Springs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Vision Source El Dorado Springs, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Laura Montgomery, O.D.

Optometry

NPI 1881761161

680 ALDRICH RD
Bolivar, MO 65613

(417) 777-9000

✔ PECOS✔ Accepts Medicare38 mi

Douglas Kirar, OD

Optometry

NPI 1982709697

2451 S SPRINGFIELD AVE WAL-MART VISION CENTER #0046
Bolirar, MO 65613

(417) 777-7662

✔ PECOS✔ Accepts Medicare38 mi

Richard Nutt, O.D.

Optometry

NPI 1710964309

1111 E CAMBRIDGE ST
Bolivar, MO 65613

(417) 326-6001

✔ PECOS✔ Accepts Medicare38 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 El Dorado Vision LLC's NPI number?

The NPI number for El Dorado Vision LLC is 1902379266. It was assigned to this organization in the NPPES registry on January 9, 2019. The provider is doing business as Vision Source El Dorado Springs.

Where is El Dorado Vision LLC located?

El Dorado Vision LLC is located at 701 E Hospital Rd, El Dorado Springs, MO 64744. The listed phone number is (417) 876-6052.

What is El Dorado Vision LLC's specialty?

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

Is El Dorado Vision LLC enrolled in Medicare?

Yes. El Dorado Vision LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through El Dorado Vision LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to El Dorado Vision 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 El Dorado Vision 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 5 other insurers list El Dorado Vision 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 El Dorado Vision LLC was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.