ADVANCED VISION WELLNESS CENTER
NPI 1013603380
Optometrist in Medford, OR

Q: What is Maisha Optical LLC's NPI number?

The NPI number for Maisha Optical LLC is 1013603380. It was assigned to this organization in the NPPES registry on April 11, 2023. The provider is doing business as Advanced Vision Wellness Center.

Q: What is Maisha Optical LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since April 11, 2023

1251 E MCANDREWS RD STE 100, MEDFORD, OR 97504(808) 264-4810 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 10, 2025, Dec 12, 2024, Oct 11, 2024 and 1 more (4 updates tracked since 2023).

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About Advanced Vision Wellness Center NPPES

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

ADVANCED VISION WELLNESS CENTER (NPI 1013603380) is a healthcare organization registered as an optometrist in Medford, Oregon and active in the NPI registry since April 2023. The organization lists Maisha Langella, Owner, as its authorized official.

NPPES Registry Identity

NPI1013603380

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMAISHA OPTICAL LLC

Location Address1251 E MCANDREWS RD STE 100Medford, OR 97504-6497

Mailing Address1251 E Mcandrews Rd Ste 100Medford, OR 97504-6497 · (808) 264-4810

Phone(808) 264-4810

Organization SubpartNo

Authorized OfficialMaisha LangellaOwner · (808) 677-7727

Enumeration DateApril 11, 2023

Last NPPES UpdateJanuary 10, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1013603380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedEyewear SupplierTaxonomy 332H00000X

1251 E MCANDREWS RD STE 100, Medford, OR 97504

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Other Names 1

Doing Business AsAdvanced Vision Wellness Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Vision Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Vision Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Gerald Starchvick, O.D.

Optometry

NPI 1972508596

1251 E MCANDREWS RD SUITE 100
Medford, OR 97504

(541) 779-1392

✔ PECOS✔ Accepts MedicareSame address

Lydia Bouman

Optometry

NPI 1003650904

1600 N RIVERSIDE AVE
Medford, OR 97501

(458) 658-5295

✔ PECOS0.4 mi

Nathan Carling, OD

Optometry

NPI 1134046394

1251 E MCANDREWS RD STE 100
Medford, OR 97504

(541) 779-1392

✔ PECOS1.8 mi

Maisha Langella, O.D.

Optometry

NPI 1104116532

1226 NE 7TH ST
Grants Pass, OR 97526

(541) 476-6636

✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Maisha Optical LLC's NPI number?

The NPI number for Maisha Optical LLC is 1013603380. It was assigned to this organization in the NPPES registry on April 11, 2023. The provider is doing business as Advanced Vision Wellness Center.

Where is Maisha Optical LLC located?

Maisha Optical LLC is located at 1251 E Mcandrews Rd Ste 100, Medford, OR 97504. The listed phone number is (808) 264-4810.

What is Maisha Optical LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Maisha Optical LLC enrolled in Medicare?

Yes. Maisha Optical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maisha Optical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Maisha Optical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Maisha Optical LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Maisha Optical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maisha Optical LLC was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.