EYESMILE VISION LLC
NPI 1073090742
Optometrist in Hays, KS

Active since July 25, 2018

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eyesmile Vision Llc NPPES

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

EYESMILE VISION LLC (NPI 1073090742) is a healthcare organization registered as an optometrist in Hays, Kansas and active in the NPI registry since July 2018. The organization lists Stacey Jones, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1073090742
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYESMILE VISION LLC
Location Address1300A MAIN STHays, KS 67601-3658
Mailing Address1300a Main StHays, KS 67601-3658 · (785) 621-4242
Organization SubpartNo
Authorized OfficialStacey JonesOptometrist · (785) 621-4242
Enumeration DateJuly 25, 2018
✔ NPI 1073090742 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 KS · 1657
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.
1300A MAIN ST, Hays, KS 67601

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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
StateKansasEnrollment IDO20190422002163DME · Physician - OptometristDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Optometry
NPI 1356337901
2203 CANTERBURY DR
Hays, KS 67601
(785) 625-3937
✔ PECOS✔ Accepts Medicare1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Eyesmile Vision LLC carries, from the Medicare DMEPOS supplier directory.

Eyesmile Vision LLC

DMEPOS supplier · Hays, KS
✔

Accepts Medicare assignment

Eyesmile Vision LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20436221
Medicare Participant SinceJanuary 1, 2019
Supplier Location1300 Main StHays, KS 67601
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Eyesmile Vision LLC's NPI number?

The NPI number for Eyesmile Vision LLC is 1073090742. It was assigned to this organization in the NPPES registry on July 25, 2018.

Where is Eyesmile Vision LLC located?

Eyesmile Vision LLC is located at 1300A Main St, Hays, KS 67601. The listed phone number is (785) 621-4242.

What is Eyesmile Vision LLC's specialty?

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

Is Eyesmile Vision LLC enrolled in Medicare?

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

When is Eyesmile Vision LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Kansas, Physician - Optometrist) is due for revalidation by November 30, 2026. 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 Eyesmile Vision LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Eyesmile Vision 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.

Does Eyesmile Vision LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Eyesmile Vision LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Eyesmile Vision LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Eyesmile Vision 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 Eyesmile Vision LLC was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.