Vance Vision Clinic PA
NPI 1114224201 · Optometrist · Cotter, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vance Vision Clinic PA is a Optometrist organization in Cotter, AR (NPI 1114224201).
Provider details
- NPI number
- 1114224201
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Dustin Vance, Owner/Doctor(573) 382-2974
- License
- 2657 (AR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-25
- Last updated
- 2013-03-25
Frequently asked questions
- What is Vance Vision Clinic PA's NPI number?
- Vance Vision Clinic PA's National Provider Identifier (NPI) is 1114224201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vance Vision Clinic PA?
- Vance Vision Clinic PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Vance Vision Clinic PA located?
- Vance Vision Clinic PA's practice location on file with NPPES is 1200 W Main St, Cotter, AR 72626-9777.
- What is Vance Vision Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Vance Vision Clinic PA is (870) 435-3333.
- Does Vance Vision Clinic PA accept Medicare?
- Vance Vision Clinic PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vance Vision Clinic PA?
- The authorized official listed on Vance Vision Clinic PA's NPPES record is Dustin Vance, Owner/Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vance Vision Clinic PA's NPI active?
- Yes — Vance Vision Clinic PA's NPI (1114224201) is active in the NPPES registry as of the last update on 2013-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.