VIVID VISION EYE CARE, LLC
NPI 1033874573
Optometrist in Ravenna, OH
About Vivid Vision Eye Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVID VISION EYE CARE, LLC (NPI 1033874573) is a healthcare organization registered as an optometrist in Ravenna, Ohio and active in the NPI registry since October 2021. The organization lists Sawyer Ellis, Owner/optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Vivid Vision Eye Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Vivid Vision Eye Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Vivid Vision Eye Care, LLC's NPI number?
The NPI number for Vivid Vision Eye Care, LLC is 1033874573. It was assigned to this organization in the NPPES registry on October 31, 2021.
Where is Vivid Vision Eye Care, LLC located?
Vivid Vision Eye Care, LLC is located at 159 E Main St, Ravenna, OH 44266. The listed phone number is (330) 297-7733.
What is Vivid Vision Eye Care, LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Vivid Vision Eye Care, LLC enrolled in Medicare?
Yes. Vivid Vision Eye Care, LLC is registered in the Medicare PECOS enrollment system.
When is Vivid Vision Eye Care, LLC'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 (Ohio, Clinic/Group Practice) is due for revalidation by January 31, 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 Vivid Vision Eye Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Vivid Vision Eye Care, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Vivid Vision Eye Care, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 and 2 other insurers list Vivid Vision Eye Care, 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 Vivid Vision Eye Care, LLC was last updated on October 31, 2021. 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.
# Vivid Vision Eye Care, Llc · NPI 1033874573
Optometrist organization in Ravenna, Ohio. Organization record, active in the CMS NPPES registry since October 31, 2021.
## Identity
- **NPI:** 1033874573 (Entity type: Organization)
- **Enumerated:** October 31, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Sawyer Ellis, OWNER/OPTOMETRIST
## Practice location
- **Address:** 159 E MAIN ST, Ravenna, OH 44266-3128
- **Phone:** (330) 297-7733
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Ohio, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1033874573) · Data from the CMS NPPES public registry.