VISTAURA EYE PC
NPI 1114950144
Ophthalmology in Harrisburg, PA
About Vistaura Eye Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISTAURA EYE PC (NPI 1114950144) is a healthcare organization registered as an ophthalmology in Harrisburg, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Gautam Mishra, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Vistaura Eye Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Vistaura Eye PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 39D2052757
Vistarua Eye · Harrisburg, PAFrequently 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 Vistaura Eye PC's NPI number?
The NPI number for Vistaura Eye PC is 1114950144. It was assigned to this organization in the NPPES registry on July 10, 2006.
Where is Vistaura Eye PC located?
Vistaura Eye PC is located at 10 Capital Dr. Suite 300, Harrisburg, PA 17110. The listed phone number is (717) 233-3937.
What is Vistaura Eye PC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Vistaura Eye PC enrolled in Medicare?
Yes. Vistaura Eye PC is registered in the Medicare PECOS enrollment system.
When is Vistaura Eye PC'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 (Pennsylvania, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Vistaura Eye PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Vistaura Eye PC, in Ophthalmology and Optometry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vistaura Eye PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2052757) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Vistaura Eye PC accept?
Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Vistaura Eye PC 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 Vistaura Eye PC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Vistaura Eye Pc · NPI 1114950144
Ophthalmology organization in Harrisburg, Pennsylvania. Organization record, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1114950144 (Entity type: Organization)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Gautam Mishra, PRESIDENT
## Practice location
- **Address:** 10 CAPITAL DR., SUITE 300, Harrisburg, PA 17110
- **Phone:** (717) 233-3937 · **Fax:** (717) 233-5715
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (2), Optometry (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2025
- **Other identifiers:** Other CA3279 (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114950144) · Data from the CMS NPPES public registry.