DESOTO VISION CARE LLC; NPI #1356161509

Contact Information

DESOTO VISION CARE LLC

126 S MAIN ST
DE SOTO, MO 63020-2104

Phone: 636-586-5406
Fax: 636-586-1969
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Eyewear Supplier	332H00000X	87	All Other Suppliers
Optometrist	152W00000X	41	Optometry

Indicates primary specialty

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NPI Profile & details for DESOTO VISION CARE LLC

NPI Number	`1356161509`
LBN Legal business name	DESOTO VISION CARE LLC
Authorized official	CHARLES PELTON - (OPTOMETRIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/14/2024
Last updated	11/19/2025 - About 7 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DESOTO VISION CARE LLC

Contact Information

Specialty

Eyewear Supplier

Optometrist

NPI Profile & details for DESOTO VISION CARE LLC

Reviews for DESOTO VISION CARE LLC