VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
NPI 1104460542
Durable Medical Equipment & Medical Supplies in Nanticoke, PA

Active since October 29, 2019
9 N MARKET ST, NANTICOKE, PA 18634(570) 735-3114 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Mar 7, 2025, Oct 29, 2019 (3 updates tracked since 2019).

About Vision Innovation Centers Of Pennsylvania Llc NPPES

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

VISION INNOVATION CENTERS OF PENNSYLVANIA LLC (NPI 1104460542) is a healthcare organization registered as a durable medical equipment & medical supplies in Nanticoke, Pennsylvania and active in the NPI registry since October 2019. The organization lists Michael Pascetta, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104460542
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameVISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Location Address9 N MARKET STNanticoke, PA 18634-1410
Mailing Address703 Rutter AveKingston, PA 18704-4801
Organization SubpartNo
Authorized OfficialMichael PascettaCfo · (860) 652-5002
Enumeration DateOctober 29, 2019
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1104460542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedOphthalmologyTaxonomy 207W00000X
9 N MARKET ST, Nanticoke, PA 18634

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vision Innovation Centers Of Pennsylvania Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

88

Medicare enrollment records show 88 clinicians reassign Medicare billing to Vision Innovation Centers Of Pennsylvania LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Optometry55
Ophthalmology33

Nearest to this location (20)

See all 88
Optometry
NPI 1629306394
9 N MARKET ST
Nanticoke, PA 18634
(570) 735-3114
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1972615722
10 1/2 S MOUNTAIN BLVD
Mountain Top, PA 18707
(570) 403-1341
✔ PECOS✔ Accepts Medicare6.3 mi
Optometry
NPI 1023077849
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Optometry
NPI 1033149331
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Ophthalmology
NPI 1457348781
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Optometry
NPI 1265263933
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Optometry
NPI 1376539916
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Optometry
NPI 1053413633
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Optometry
NPI 1245299064
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Optometry
NPI 1306049598
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Ophthalmology
NPI 1548827918
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Ophthalmology
NPI 1801882667
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Optometry
NPI 1447271473
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Optometry
NPI 1881426443
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Optometry
NPI 1336109503
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Optometry
NPI 1164465795
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Ophthalmology
NPI 1366449977
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Ophthalmology
NPI 1386846251
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Ophthalmology
NPI 1376502229
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
Ophthalmology
NPI 1437119799
703 RUTTER AVE
Kingston, PA 18704
(570) 288-7405
✔ PECOS✔ Accepts Medicare8.0 mi
See all 88 clinicians

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 Vision Innovation Centers Of PA carries, from the Medicare DMEPOS supplier directory.

Vision Innovation Centers Of PA

DMEPOS supplier · Nanticoke, PAOperated by Vision Innovation Centers Of PA LLC
✔

Accepts Medicare assignment

Vision Innovation Centers Of PA 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.

PTAN (Medicare Supplier Number)20418083
Medicare Participant SinceJanuary 1, 2020
Supplier Location9 N Market StNanticoke, PA 18634
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Vision Innovation Centers Of Pennsylvania LLC's NPI number?

The NPI number for Vision Innovation Centers Of Pennsylvania LLC is 1104460542. It was assigned to this organization in the NPPES registry on October 29, 2019.

Where is Vision Innovation Centers Of Pennsylvania LLC located?

Vision Innovation Centers Of Pennsylvania LLC is located at 9 N Market St, Nanticoke, PA 18634. The listed phone number is (570) 735-3114.

What is Vision Innovation Centers Of Pennsylvania LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Vision Innovation Centers Of Pennsylvania LLC enrolled in Medicare?

Yes. Vision Innovation Centers Of Pennsylvania LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vision Innovation Centers Of Pennsylvania LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 88 clinicians in 2 Medicare specialties reassign their Medicare billing to Vision Innovation Centers Of Pennsylvania 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. The largest specialties are Optometry (55) and Ophthalmology (33). Of these, 1 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vision Innovation Centers Of Pennsylvania LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Vision Innovation Centers Of PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Vision Innovation Centers Of Pennsylvania LLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.