GRANVILLE VISION CENTER LLC
NPI 1083230858
Optometrist in Granville, OH

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

The NPI number for Granville Vision Center LLC is 1083230858. It was assigned to this organization in the NPPES registry on June 17, 2020.

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

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

Active since June 17, 2020

205 1/2 S PROSPECT ST, GRANVILLE, OH 43023(614) 361-0954 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Granville Vision Center Llc NPPES

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

GRANVILLE VISION CENTER LLC (NPI 1083230858) is a healthcare organization registered as an optometrist in Granville, Ohio and active in the NPI registry since June 2020. The organization lists Jenna Tyler, Owner, as its authorized official.

NPPES Registry Identity

NPI1083230858

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameGRANVILLE VISION CENTER LLC

Location Address205 1/2 S PROSPECT STGranville, OH 43023-1423

Mailing Address1876 Westwood AveColumbus, OH 43212-1133 · (614) 361-0954

Phone(614) 361-0954

Organization SubpartNo

Authorized OfficialJenna TylerOwner · (614) 361-0954

Enumeration DateJune 17, 2020

NPPES CertifiedJune 17, 2020

✔ NPI 1083230858 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.

205 1/2 S PROSPECT ST, Granville, OH 43023

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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 from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

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

Clinician (1)

Jenna Tyler, OD

Optometry

NPI 1093243487

57 S WALNUT ST
Logan, OH 43138

(740) 385-4006

✔ PECOS✔ Accepts Medicare37 mi

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 Granville Vision Center LLC's NPI number?

The NPI number for Granville Vision Center LLC is 1083230858. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is Granville Vision Center LLC located?

Granville Vision Center LLC is located at 205 1/2 S Prospect St, Granville, OH 43023. The listed phone number is (614) 361-0954.

What is Granville Vision Center LLC's specialty?

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

Is Granville Vision Center LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Granville Vision Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Granville 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 Granville Vision Center LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 6 other insurers list Granville 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 Granville Vision Center LLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.