Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles William Pelton, OD

Individual provider Optometrist · NPI 1962767665

Dr. Charles William Pelton, OD is an Optometry in De Soto, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2012
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

126 S Main St
De Soto, MO 63020-2104
Phone: (636) 586-5406
Fax: (636) 586-1969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2012017231 (MO)

Record details

NPI number1962767665
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 9, 2012
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in De Soto