Active NPI
Success Vision Eyecare of Cape, LLC
Doing business as Success Vision Eyecare of Cape
- Optometrist
- Cape Girardeau, MO
National Provider Identifier
1417428509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SUCCESS VISION EYECARE OF CAPE, LLC
- Doing business as
- Success Vision Eyecare of Cape
- Practice address
- 3019 William St Ste 102
Cape Girardeau, MO 63703-6385 - Phone
- (918) 895-1700
- NPI assigned
- Dec 16, 2018
- Last updated
- May 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caleb Tanck
- Title
- Insurance Manager
- Phone
- (539) 476-2015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3019 William St Ste 102
Cape Girardeau, MO 63703-6385
Mailing address
5312 W 41St St
Tulsa, OK 74107-6110
Phone (918) 895-1700
Other names 1
- Success Vision Eyecare of Cape
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3019 William St
Ste 102
Cpe Girardeau, MO 63703
Phone (573) 335-2020
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Cape Girardeau, MO
- NPI 1447506381
-
- Optometrist
- Saint Louis, MO
- NPI 1437153772
-
- Optometrist
- Cape Girardeau, MO
- NPI 1275648677
-
- Optometrist
- Cape Girardeau, MO
- NPI 1013754472
-
- Corneal and Contact Management Optometrist
- Washington, MO
- NPI 1609868140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1417428509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5312 W 41ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741076110",
"telephone_number": "918-895-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 WILLIAM ST STE 102",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036385",
"telephone_number": "918-895-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUCCESS VISION EYECARE OF CAPE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-16",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "TANCK",
"authorized_official_first_name": "CALEB",
"authorized_official_title_or_position": "INSURANCE MANAGER",
"authorized_official_telephone_number": "539-476-2015"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Success Vision Eyecare of Cape",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Success Vision Eyecare of Cape",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.