SOUTH HAVEN EYECARE ASSOCIATES
NPI 1083744379
Optometrist in South Haven, MI
About South Haven Eyecare Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH HAVEN EYECARE ASSOCIATES (NPI 1083744379) is a healthcare organization registered as an optometrist in South Haven, Michigan and active in the NPI registry since March 2007. The organization lists Alice M Bacak, General Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
South Haven Eyecare Associates 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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to South Haven Eyecare Associates, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 South Haven Eyecare Associates PLLC carries, from the Medicare DMEPOS supplier directory.
South Haven Eyecare Associates PLLC
DMEPOS supplier · South Haven, MIOperated by South Haven Eyecare AssociatesAccepts Medicare assignment
South Haven Eyecare Associates PLLC 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.
Medicare Product Categories
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 South Haven Eyecare Associates's NPI number?
The NPI number for South Haven Eyecare Associates is 1083744379. It was assigned to this organization in the NPPES registry on March 6, 2007.
Where is South Haven Eyecare Associates located?
South Haven Eyecare Associates is located at 1088 S Bailey Ave Suite B, South Haven, MI 49090. The listed phone number is (269) 637-1442.
What is South Haven Eyecare Associates's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is South Haven Eyecare Associates enrolled in Medicare?
Yes. South Haven Eyecare Associates is registered in the Medicare PECOS enrollment system.
When is South Haven Eyecare Associates's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Michigan, 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 South Haven Eyecare Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to South Haven Eyecare Associates. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Haven Eyecare Associates accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, South Haven Eyecare Associates PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does South Haven Eyecare Associates accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and BlueCross BlueShield of Tennessee list South Haven Eyecare Associates 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 South Haven Eyecare Associates was last updated on November 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# South Haven Eyecare Associates · NPI 1083744379
Optometrist organization in South Haven, Michigan. Organization record, active in the CMS NPPES registry since March 6, 2007.
## Identity
- **NPI:** 1083744379 (Entity type: Organization)
- **Enumerated:** March 6, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Alice Bacak, GENERAL PARTNER
## Practice location
- **Address:** 1088 S BAILEY AVE, SUITE B, South Haven, MI 49090-6723
- **Phone:** (269) 637-1442 · **Fax:** (269) 637-3801
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Michigan, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2010
- **Other identifiers:** Medicare PIN 0H07612 (MI); Other 0H07612 (MI); Medicare NSC 0240320001 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1083744379) · Data from the CMS NPPES public registry.