GENESEO VISION CENTER LLC
NPI 1073909354
Optometrist in Geneseo, IL

Q: What is Geneseo Vision Center LLC's NPI number?

The NPI number for Geneseo Vision Center LLC is 1073909354. It was assigned to this organization in the NPPES registry on April 13, 2015.

Q: What is Geneseo Vision Center LLC's specialty?

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

Active since April 13, 2015

112 S CENTER ST, GENESEO, IL 61254(309) 944-5303(309) 944-3465 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Geneseo Vision Center Llc NPPES

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

GENESEO VISION CENTER LLC (NPI 1073909354) is a healthcare organization registered as an optometrist in Geneseo, Illinois and active in the NPI registry since April 2015. The organization lists Ryan J Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1073909354

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameGENESEO VISION CENTER LLC

Location Address112 S CENTER STGeneseo, IL 61254-1338

Mailing Address112 S Center StGeneseo, IL 61254-1338 · (309) 944-5303 · Fax (309) 944-3465

Phone(309) 944-5303

Fax(309) 944-3465

Organization SubpartNo

Authorized OfficialRyan J WilsonOwner · (309) 944-5303

Enumeration DateApril 13, 2015

Last NPPES UpdateFebruary 16, 2024

NPPES CertifiedFebruary 16, 2024

✔ NPI 1073909354 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 IL · 04600798

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.

112 S CENTER ST, Geneseo, IL 61254

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Other Identifiers 1

Medicaid046007958IL

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.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)

Geneseo 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 Geneseo Vision Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Wilson, O.D.

Optometry

NPI 1407832454

112 S CENTER ST
Geneseo, IL 61254

(309) 944-5303

✔ 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 Geneseo Vision Center LLC's NPI number?

The NPI number for Geneseo Vision Center LLC is 1073909354. It was assigned to this organization in the NPPES registry on April 13, 2015.

Where is Geneseo Vision Center LLC located?

Geneseo Vision Center LLC is located at 112 S Center St, Geneseo, IL 61254. The listed phone number is (309) 944-5303.

What is Geneseo Vision Center LLC's specialty?

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

Is Geneseo Vision Center LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Geneseo Vision Center LLC?

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

What insurance does Geneseo Vision Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Geneseo Vision Center 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 Geneseo Vision Center LLC was last updated on February 16, 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.