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VISTAR EYE CENTER
NPI 1003050485
Eyewear Supplier in Roanoke, VA

Active since April 29, 2009CLIA 49D2341588 · Waiver
70 SUMMERFIELD CT, ROANOKE, VA 24019(540) 855-5139(540) 342-4373 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vistar Eye Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTAR EYE CENTER (NPI 1003050485) is a healthcare organization registered as an eyewear supplier in Roanoke, Virginia and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Kathy P Cowan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003050485
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameVISTAR EYE CENTER
Location Address70 SUMMERFIELD CTRoanoke, VA 24019-4579
Mailing AddressPo Box 1789Roanoke, VA 24008-1789 · (540) 855-5139 · Fax (540) 342-4373
Phone(540) 855-5139
Fax(540) 342-4373
Organization SubpartNo
Authorized OfficialKathy P CowanAdministrator · (540) 855-5123
Enumeration DateApril 29, 2009
Last NPPES UpdateJuly 23, 2009
✔ NPI 1003050485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in VA · 3699
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
70 SUMMERFIELD CT, Roanoke, VA 24019
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC0796160002VA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2341588

Vistar Eye Center · Roanoke, VA
Active · expires Apr 5, 2028
CLIA Number49D2341588
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorMary Galyen
Laboratory Phone(540) 342-3400
Laboratory LocationVistar Eye Center6125 Airport Rd, Roanoke, VA 24019
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Vistar Eye Center Inc carries, from the Medicare DMEPOS supplier directory.

Vistar Eye Center Inc

DMEPOS supplier · Roanoke, VA
✔

Accepts Medicare assignment

Vistar Eye Center Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20676005
Medicare Participant SinceApril 1, 1988
Supplier Location70 Summerfield CtRoanoke, VA 24019
Phone(540) 966-6616
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD MAC SCOTHORN O.D.
Optometrist
70 SUMMERFIELD CT
ROANOKE, VA 24019
Roanoke County (540) 966-6616
ANN B SOWERS M.D.
Ophthalmology
70 SUMMERFIELD CT
ROANOKE, VA 24019
Roanoke County (540) 966-6616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vistar Eye Center's NPI number?

The NPI number for Vistar Eye Center is 1003050485. It was assigned to this organization in the NPPES registry on April 29, 2009.

Where is Vistar Eye Center located?

Vistar Eye Center is located at 70 Summerfield Ct, Roanoke, VA 24019. The listed phone number is (540) 855-5139.

What is Vistar Eye Center's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Vistar Eye Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Vistar Eye Center Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Vistar Eye Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2341588) is associated with this NPI, valid through April 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vistar Eye Center was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.