VISION DYNAMICS OPTOMETRY
NPI 1023378635
Optometrist in Danville, CA

Active since May 17, 2012
417 SYCAMORE VALLEY ROAD WEST, DANVILLE, CA 94526(925) 838-3021(925) 838-9068 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vision Dynamics Optometry NPPES

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

VISION DYNAMICS OPTOMETRY (NPI 1023378635) is a healthcare organization registered as an optometrist in Danville, California and active in the NPI registry since May 2012. The organization lists Amy S Lin, Owner/president/doctor, as its authorized official.

NPPES Registry Identity

NPI1023378635
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVISION DYNAMICS OPTOMETRIC CENTER
Location Address417 SYCAMORE VALLEY ROAD WESTDanville, CA 94526
Mailing Address1480 Moraga Rd, Suite I - 222Moraga, CA 94556-2005 · (415) 786-4521 · Fax (206) 426-7275
Fax(925) 838-9068
Organization SubpartNo
Authorized OfficialAmy S LinOwner/president/doctor · (925) 838-3021
Enumeration DateMay 17, 2012
✔ NPI 1023378635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 007869
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.
417 SYCAMORE VALLEY ROAD WEST, Danville, CA 94526

Other Names 1

Doing Business AsVision Dynamics Optometry

Other Identifiers 2

Medicare PINSD118530CA
Medicare UPINSD118530CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vision Dynamics Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20121002000511Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Vision Dynamics Optometry, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Optometry
NPI 1730591660
417 SYCAMORE VALLEY RD W
Danville, CA 94526
(925) 838-3021
✔ PECOSSame address
Optometry
NPI 1053963363
417 SYCAMORE VALLEY RD W
Danville, CA 94526
(925) 838-3021
✔ PECOSSame address
Optometry
NPI 1255696688
208 FOREST CREEK LN
San Ramon, CA 94583
(019) 820-8792
✔ PECOS2.8 mi
Optometry
NPI 1265559413
175 MARKETPLACE
San Ramon, CA 94583
(925) 275-0202
✔ PECOS4.2 mi
Optometry
NPI 1407925811
1480 MORAGA RD SUITE I - 222
Moraga, CA 94556
(415) 786-4521
✔ PECOS7.3 mi
Optometry
NPI 1114335429
1035 S DE ANZA BLVD STE 1
San Jose, CA 95129
(408) 446-5533
✔ PECOS35 mi
Optometry
NPI 1477336329
2100 ARDEN WAY STE 103
Sacramento, CA 95825
(279) 214-0185
✔ PECOS63 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 Vision Dynamics Optometric Center's NPI number?

The NPI number for Vision Dynamics Optometric Center is 1023378635. It was assigned to this organization in the NPPES registry on May 17, 2012. The provider is doing business as Vision Dynamics Optometry.

Where is Vision Dynamics Optometric Center located?

Vision Dynamics Optometric Center is located at 417 Sycamore Valley Road West, Danville, CA 94526. The listed phone number is (925) 838-3021.

What is Vision Dynamics Optometric Center's specialty?

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

Is Vision Dynamics Optometric Center enrolled in Medicare?

Yes. Vision Dynamics Optometric Center is registered in the Medicare PECOS enrollment system.

When is Vision Dynamics Optometric Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Vision Dynamics Optometric Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Vision Dynamics Optometric Center. 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, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vision Dynamics Optometric Center accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Vision Dynamics Optometric Center 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 Vision Dynamics Optometric Center was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.