ANTELOPE VALLEY FAMILY OPTOMETRY
NPI 1073563706
Optometrist in Palmdale, CA
About Antelope Valley Family Optometry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTELOPE VALLEY FAMILY OPTOMETRY (NPI 1073563706) is a healthcare organization registered as an optometrist in Palmdale, California and active in the NPI registry since May 2006. The organization lists Paul Lin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Antelope Valley Family Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Antelope Valley Family Optometry, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Antelope Valley Family Optometry, Inc's NPI number?
The NPI number for Antelope Valley Family Optometry, Inc is 1073563706. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Antelope Valley Family Optometry.
Where is Antelope Valley Family Optometry, Inc located?
Antelope Valley Family Optometry, Inc is located at 2720 E Palmdale Blvd Ste 133, Palmdale, CA 93550. The listed phone number is (661) 267-0026.
What is Antelope Valley Family Optometry, Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Antelope Valley Family Optometry, Inc enrolled in Medicare?
Yes. Antelope Valley Family Optometry, Inc is registered in the Medicare PECOS enrollment system.
When is Antelope Valley Family Optometry, Inc'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 (California, Clinic/Group Practice) is due for revalidation by October 31, 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 Antelope Valley Family Optometry, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Antelope Valley Family Optometry, Inc. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Antelope Valley Family Optometry, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Antelope Valley Family Optometry, Inc 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 Antelope Valley Family Optometry, Inc was last updated on June 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.
# Antelope Valley Family Optometry · NPI 1073563706
Optometrist organization in Palmdale, California. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1073563706 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Antelope Valley Family Optometry, Inc
- **Organization subpart:** No
- **Authorized official:** Paul Lin, PRESIDENT
## Practice location
- **Address:** 2720 E PALMDALE BLVD STE 133, Palmdale, CA 93550-4930
- **Phone:** (661) 267-0026 · **Fax:** (661) 267-0892
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2018
- **Other identifiers:** Medicaid 6204141 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073563706) · Data from the CMS NPPES public registry.