1 VISION S.C.
NPI 1033197397
Optometrist in Shawano, WI
About 1 Vision S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
1 VISION S.C. (NPI 1033197397) is a healthcare organization registered as an optometrist in Shawano, Wisconsin and active in the NPI registry since January 2006. The organization lists Thomas G Peterson, O.d. - President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted 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)
1 Vision S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to 1 Vision S.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 1 Vision S.C.'s NPI number?
The NPI number for 1 Vision S.C. is 1033197397. It was assigned to this organization in the NPPES registry on January 6, 2006.
Where is 1 Vision S.C. located?
1 Vision S.C. is located at 150A County Rd B, Shawano, WI 54166. The listed phone number is (715) 526-3163.
What is 1 Vision S.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is 1 Vision S.C. enrolled in Medicare?
Yes. 1 Vision S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 1 Vision S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to 1 Vision S.C.. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does 1 Vision S.C. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list 1 Vision S.C. 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 1 Vision S.C. was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# 1 Vision S.c. · NPI 1033197397
Optometrist organization in Shawano, Wisconsin. Organization record, active in the CMS NPPES registry since January 6, 2006.
## Identity
- **NPI:** 1033197397 (Entity type: Organization)
- **Enumerated:** January 6, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Thomas Peterson, O.D. - PRESIDENT
## Practice location
- **Address:** 150A COUNTY RD B, Shawano, WI 54166-7072
- **Phone:** (715) 526-3163 · **Fax:** (715) 526-4019
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2022
- **Other identifiers:** Other 410033786 (WI); Medicaid 38578000 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1033197397) · Data from the CMS NPPES public registry.