PREMIER VISION CENTER LLC
NPI 1053938092
Optometrist in Springfield, IL

Active since June 25, 2020
6900 PRESTON DR STE A, SPRINGFIELD, IL 62711(217) 697-8741 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Vision Center Llc NPPES

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

PREMIER VISION CENTER LLC (NPI 1053938092) is a healthcare organization registered as an optometrist in Springfield, Illinois and active in the NPI registry since June 2020. The organization lists Alexander Kane, Owner, as its authorized official.

NPPES Registry Identity

NPI1053938092
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePREMIER VISION CENTER LLC
Location Address6900 PRESTON DR STE ASpringfield, IL 62711-4309
Mailing Address6900 Preston Dr Ste ASpringfield, IL 62711-4309 · (217) 697-8741
Organization SubpartNo
Authorized OfficialAlexander KaneOwner · (217) 697-8741
Enumeration DateJune 25, 2020
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1053938092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6900 PRESTON DR STE A, Springfield, IL 62711

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Vision Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1336766377
6900 PRESTON DR STE A
Springfield, IL 62711
(217) 899-7997
✔ PECOS✔ Accepts MedicareSame address

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 Premier Vision Center LLC's NPI number?

The NPI number for Premier Vision Center LLC is 1053938092. It was assigned to this organization in the NPPES registry on June 25, 2020.

Where is Premier Vision Center LLC located?

Premier Vision Center LLC is located at 6900 Preston Dr Ste A, Springfield, IL 62711. The listed phone number is (217) 697-8741.

What is Premier Vision Center LLC's specialty?

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

Is Premier Vision Center LLC enrolled in Medicare?

Yes. Premier Vision Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Vision Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Premier Vision Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Vision Center LLC was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.