Success Vision Eyecare of Cape, LLC
NPI 1417428509ActiveOrganization· Optometrist· Cape Girardeau, MO
Optometrist in Cape Girardeau, Missouri, registered in NPPES in December 2018. The authorized official on file is Caleb Tanck, Insurance Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417428509 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2018 |
| Last updated in NPPES | May 19, 2026 |
| Certified by provider | May 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
Other Optometrist providers in Cape Girardeau
- 1184800450
- 1114359106
- 1780704643
- 1043578792
- 1760510713
- 1881734804
- 1235493164
- 1760558019
- 1962316216
- 1083189468
- 1063300770
- 1952308546