Desoto Vision Care Llc

LBN: Desoto Vision Care Llc
Desoto Vision Care Llc is an health care organization with primary practice located at 126 S Main St , De Soto MO 63020-2104. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Desoto Vision Care Llc can be contacted via phone (636) 586-5406, or through Pelton, Charles W via phone (636) 586-5406.

Contact Information

Primary practice address
126 S Main St De Soto MO 63020-2104
Phone: (636) 586-5406
Fax: (636) 586-1969
Website:
Map and Directions
Authorized official contact:
Name: Pelton, Charles W Doctor of Optometry (OD)
Phone: (636) 586-5406

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1356161509
LBN Legal business name Desoto Vision Care Llc
DBA Doing business as
Authorized official Pelton, Charles W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2024
Last updated Nov 19th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers