VISION SOURCE OF MT OLIVE LLC
NPI 1063766202
Optometrist in Budd Lake, NJ
About Vision Source Of Mt Olive Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISION SOURCE OF MT OLIVE LLC (NPI 1063766202) is a healthcare organization registered as an optometrist in Budd Lake, New Jersey and active in the NPI registry since November 2012. The organization lists Michael J Siegel, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Vision Source Of Mt Olive Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Vision Source Of Mt Olive 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)
Budd Lake, NJ 07828
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 Source Of Mt Olive LLC's NPI number?
The NPI number for Vision Source Of Mt Olive LLC is 1063766202. It was assigned to this organization in the NPPES registry on November 8, 2012.
Where is Vision Source Of Mt Olive LLC located?
Vision Source Of Mt Olive LLC is located at 135 Route 46 East Unit E, Budd Lake, NJ 07828. The listed phone number is (862) 258-3200.
What is Vision Source Of Mt Olive LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Vision Source Of Mt Olive LLC enrolled in Medicare?
Yes. Vision Source Of Mt Olive LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vision Source Of Mt Olive LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Vision Source Of Mt Olive 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 Vision Source Of Mt Olive LLC 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 list Vision Source Of Mt Olive 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 Vision Source Of Mt Olive LLC was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Vision Source Of Mt Olive Llc · NPI 1063766202
Optometrist organization in Budd Lake, New Jersey. Organization record, active in the CMS NPPES registry since November 8, 2012.
## Identity
- **NPI:** 1063766202 (Entity type: Organization)
- **Enumerated:** November 8, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Michael Siegel, PRESIDENT
## Practice location
- **Address:** 135 ROUTE 46 EAST, UNIT E, Budd Lake, NJ 07828
- **Phone:** (862) 258-3200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** November 15, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1063766202) · Data from the CMS NPPES public registry.