Bolivar Vision, LLC
NPI 1578969960 · Optometrist · Bolivar, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bolivar Vision, LLC is a Optometrist organization in Bolivar, MO (NPI 1578969960).
Provider details
- NPI number
- 1578969960
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Laura Montgomery, Optometrist/Owner(417) 777-9000
- License
- 20060182040 (MO)
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
11 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
Other names (DBA / former)
- Doing business as
- Vision Source Bolivar
- Doing business as
- Vision Source Bolivar
Registry dates
- Enumerated
- 2014-11-12
- Last updated
- 2023-12-21
- Certified
- 2023-12-20
Frequently asked questions
- What is Bolivar Vision, LLC's NPI number?
- Bolivar Vision, LLC's National Provider Identifier (NPI) is 1578969960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bolivar Vision, LLC?
- Bolivar Vision, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Bolivar Vision, LLC located?
- Bolivar Vision, LLC's practice location on file with NPPES is 680 E Aldrich Road, Bolivar, MO 65613.
- What is Bolivar Vision, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bolivar Vision, LLC is (417) 777-9000.
- Does Bolivar Vision, LLC accept Medicare?
- Bolivar Vision, LLC 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 Bolivar Vision, LLC?
- The authorized official listed on Bolivar Vision, LLC's NPPES record is Laura Montgomery, Optometrist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bolivar Vision, LLC's NPI active?
- Yes — Bolivar Vision, LLC's NPI (1578969960) is active in the NPPES registry as of the last update on 2023-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.