HILLCREST VISION, O.D., P.A.
NPI 1104071695
Optometrist in Winston Salem, NC
About Hillcrest Vision, O.d., P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HILLCREST VISION, O.D., P.A. (NPI 1104071695) is a healthcare organization registered as an optometrist in Winston Salem, North Carolina and active in the NPI registry since November 2008. The organization lists Juawana Coleman Hall, President, 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)
Hillcrest Vision, O.d., P.a. 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
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Hillcrest Vision, O.D., P.A., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Hillcrest Vision carries, from the Medicare DMEPOS supplier directory.
Hillcrest Vision
DMEPOS supplier · Winston Salem, NCOperated by Hillcrest Vision Od PAAccepts Medicare assignment
Hillcrest Vision 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 Hillcrest Vision, O.D., P.A.'s NPI number?
The NPI number for Hillcrest Vision, O.D., P.A. is 1104071695. It was assigned to this organization in the NPPES registry on November 25, 2008.
Where is Hillcrest Vision, O.D., P.A. located?
Hillcrest Vision, O.D., P.A. is located at 2341 Winterhaven Ln, Winston Salem, NC 27103. The listed phone number is (336) 760-2020.
What is Hillcrest Vision, O.D., P.A.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Hillcrest Vision, O.D., P.A. enrolled in Medicare?
Yes. Hillcrest Vision, O.D., P.A. is registered in the Medicare PECOS enrollment system.
When is Hillcrest Vision, O.D., P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (North Carolina, Physician - Optometrist) 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 Hillcrest Vision, O.D., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Hillcrest Vision, O.D., P.A.. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hillcrest Vision, O.D., P.A. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Hillcrest Vision accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Hillcrest Vision, O.D., P.A. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Hillcrest Vision, O.D., P.A. 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 Hillcrest Vision, O.D., P.A. was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Hillcrest Vision, O.d., P.a. · NPI 1104071695
Optometrist organization in Winston Salem, North Carolina. Organization record, active in the CMS NPPES registry since November 25, 2008.
## Identity
- **NPI:** 1104071695 (Entity type: Organization)
- **Enumerated:** November 25, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Juawana Hall, PRESIDENT
## Practice location
- **Address:** 2341 WINTERHAVEN LN, Winston Salem, NC 27103-6792
- **Phone:** (336) 760-2020 · **Fax:** (336) 760-2858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, North Carolina, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2013
- **Other identifiers:** Medicare UPIN V07132; Medicare NSC 6159840001 (NC); Medicaid 5902677 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1104071695) · Data from the CMS NPPES public registry.