VISION CLINIC PC – Optometrist, NPI 1316963564
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VISION CLINIC PC
213 W Olive St Ste 101
Springfield, MO 658061307
Phone: (417) 725-0500
Fax: (417) 725-0502
Type: Location
915 State Highway 248 Ste A
Branson, MO 656168004
Phone: (417) 725-0500
Fax: (417) 725-0502
Type: Location
413 N McCroskey St Ste 1
Nixa, MO 657149313
Phone: (417) 725-0500
Fax: (417) 725-0502
Type: Location
6005 N 21st St
Ozark, MO 657217634
Phone: (417) 725-0500
Fax: (417) 725-0502
Type: Location
1650 S Enterprise Ave Ste A100
Springfield, MO 658041840
Phone: (417) 889-7788
Fax: (417) 725-0502
Type: Location
3440, South National Avenue, Springfield, Greene County, Missouri, 65807, United States
SPRINGFIELD, MO 658077307
Phone: (417) 886-5444
Fax: (417) 886-6444
Type: Location
3330 S NATIONAL AVE STE 2020
SPRINGFIELD, MO 658077337
Phone: (417) 725-0500
Fax: (417) 725-0502
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-03-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (587 days ago).
Enrollment records
2
Earliest due date
2024-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060324000157 | O | Clinic/Group Practice | MO | 2024-10-31 |
| O20130320000283 | O | Physician - Optometrist | MO | 2026-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65806)
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