Active NPI
James William Vann, OD
- Optometrist
- Fulton, MO
National Provider Identifier
1396721619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02926
- Practice address
- 614 Market St
Fulton, MO 65251-1983 - Phone
- (573) 642-6800
- Fax
- (573) 642-5707
- NPI assigned
- Dec 19, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02926 | MO | Primary |
Addresses
Primary practice location
614 Market St
Fulton, MO 65251-1983
Mailing address
614 Market St
Fulton, MO 65251-1983
Phone (573) 642-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
614 Market St
Fulton, MO 65251-1983
Phone (573) 642-6800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T02926 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James W Vann Inc | Optometrist | Current | Accepting new patients |
Locations
614 Market St
Fulton, MO 65251
Phone (573) 642-6800
614 Market St
#C
Fulton, MO 65251
Phone (573) 642-6800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396721619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 MARKET ST",
"city": "FULTON",
"state": "MO",
"postal_code": "652511983",
"telephone_number": "573-642-6800",
"fax_number": "573-642-5707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 MARKET ST",
"city": "FULTON",
"state": "MO",
"postal_code": "652511983",
"telephone_number": "573-642-6800",
"fax_number": "573-642-5707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANN",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Carl Ryan Tunink, M.D.
- Joel L Tyser, CRNA
- Kaitlin Nicole Vaughan, PT, DPT
- Liberty Blue Velez
- Paul Robert Vossen, RPH
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0051)
- Walgreen Co (Walgreens #10907)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.