1. Home
  2. Directory
  3. Texas
  4. Abilene
  5. Optometrist
  6. NPI Profile

ABILENE ADVANCED EYECARE INC.
NPI 1104001643
Optometrist in Abilene, TX

Active since January 03, 2008CLIA 45D2003728 · Waiver
4734 S 14TH, ABILENE, TX 79605(325) 692-9596(325) 690-6191 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Abilene Advanced Eyecare Inc. NPPES

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

ABILENE ADVANCED EYECARE INC. (NPI 1104001643) is a healthcare organization registered as an optometrist in Abilene, Texas and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through February 16, 2028 and lists Gabriel Avila, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1104001643
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameABILENE ADVANCED EYECARE INC.
Location Address4734 S 14THAbilene, TX 79605-4733
Mailing Address4734 South 14thAbilene, TX 79605-4733 · (325) 692-9596 · Fax (325) 690-6191
Phone(325) 692-9596
Fax(325) 690-6191
Organization SubpartNo
Authorized OfficialGabriel AvilaOptometrist/owner · (325) 692-9596
Enumeration DateJanuary 3, 2008
Last NPPES UpdateFebruary 15, 2008
✔ NPI 1104001643 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 TX · TX6293TG
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.
4734 S 14TH, Abilene, TX 79605
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN00823VTX
OtherU91992TX · Provider Upin

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 Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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)

Abilene Advanced Eyecare Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20031223000822Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Abilene Advanced Eyecare Inc., which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Gabriel Avila, OD
Optometry
NPI 1487730651
4734 S 14TH
Abilene, TX 79605
(325) 692-9596
✔ PECOS0.4 mi
Nealy Edmondson, OD
Optometry
NPI 1659114510
4749 BUFFALO GAP RD
Abilene, TX 79606
(325) 692-9596
✔ PECOS3.1 mi
Whitney Mcgaha, OD
Optometry
NPI 1790214385
4749 BUFFALO GAP RD
Abilene, TX 79606
(325) 692-9596
✔ PECOS3.1 mi
Marcus Mclean, O.D.
Optometry
NPI 1689013674
4749 BUFFALO GAP RD
Abilene, TX 79606
(325) 692-9596
✔ PECOS3.1 mi
Hayden Nauert, OD
Optometry
NPI 1528620523
4749 BUFFALO GAP RD
Abilene, TX 79606
(325) 692-9596
✔ PECOS3.1 mi
Madison Salmon, OD
Optometry
NPI 1326618539
4749 BUFFALO GAP RD
Abilene, TX 79606
(325) 692-9596
✔ PECOS3.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2003728

Abilene Advanced Eyecare Inc · Abilene, TX
Active · expires Feb 16, 2028
CLIA Number45D2003728
Laboratory TypeEye Care
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorGabriel Avila
Laboratory Phone(325) 692-9596
Laboratory LocationAbilene Advanced Eyecare Inc4749 Buffalo Gap Road, Abilene, TX 79606
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Abilene Advanced Eyecare Inc.'s NPI number?

The NPI number for Abilene Advanced Eyecare Inc. is 1104001643. It was assigned to this organization in the NPPES registry on January 3, 2008.

Where is Abilene Advanced Eyecare Inc. located?

Abilene Advanced Eyecare Inc. is located at 4734 S 14th, Abilene, TX 79605. The listed phone number is (325) 692-9596.

What is Abilene Advanced Eyecare Inc.'s specialty?

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

Is Abilene Advanced Eyecare Inc. enrolled in Medicare?

Yes. Abilene Advanced Eyecare Inc. is registered in the Medicare PECOS enrollment system.

When is Abilene Advanced Eyecare 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 (Texas, Clinic/Group Practice) is due for revalidation by December 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 Abilene Advanced Eyecare Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Abilene Advanced Eyecare 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, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Abilene Advanced Eyecare Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2003728) is associated with this NPI, valid through February 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Abilene Advanced Eyecare Inc. accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Abilene Advanced Eyecare 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 Abilene Advanced Eyecare Inc. was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.