De Soto Eye Care LLC
De Soto Eye Care LLC is a healthcare organization registered as Optometrist in De Soto, MO, holding Type 2 (organization) NPI 1922268564 since 2008. The authorized official on file is Douglas Mc Guire, Optometrist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1922268564 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | De Soto Eye Care LLC |
| Practice address | 126 S MAIN ST, De Soto, MO, 63020 |
| Phone | 6365865406 |
| Fax | 6365861969 |
| Enumeration date | 2008-06-16 |
| Last updated in NPPES | 2009-07-15 |
Authorized official
| Name | Douglas Mc Guire |
|---|---|
| Title | Optometrist |
| Phone | 6365865406 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Secondary | T02872 | MO |
| 152W00000X | Optometrist | Primary | T03075 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315698803 | Medicaid | MO | — |
| 313299505 | Medicaid | MO | — |
Copy-ready billing details
Provider: De Soto Eye Care LLC NPI: 1922268564 Taxonomy: 152W00000X (Optometrist) Address: 126 S MAIN ST, De Soto, MO, 63020
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871799106 | Gennadiy Dameshek | Individual | Optometrist | De Soto, MO |
| 1962767665 | Charles Pelton | Individual | Optometrist | De Soto, MO |
| 1356161509 | Desoto Vision Care LLC | Organization | Eyewear Supplier | De Soto, MO |
Verify this record
Cross-check NPI 1922268564 against the authoritative CMS record: view De Soto Eye Care LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for De Soto Eye Care LLC?
Who is the authorized official for De Soto Eye Care LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-07-15.