OPTICAL WORLD
NPI 1124179346
Optometrist in Detroit, MI
About Optical World NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTICAL WORLD (NPI 1124179346) is a healthcare organization registered as an optometrist in Detroit, Michigan and active in the NPI registry since January 2007. The organization lists Heather M Kingery, Insurance Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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)
Optical World is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Optical World, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jartll Corp's NPI number?
The NPI number for Jartll Corp is 1124179346. It was assigned to this organization in the NPPES registry on January 15, 2007. The provider is doing business as Optical World.
Where is Jartll Corp located?
Jartll Corp is located at 15336 Grand River Ave, Detroit, MI 48227. The listed phone number is (313) 836-1666.
What is Jartll Corp's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jartll Corp enrolled in Medicare?
Yes. Jartll Corp is registered in the Medicare PECOS enrollment system.
When is Jartll Corp'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 (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 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 Jartll Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Optometry, reassign their Medicare billing to Jartll Corp. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jartll Corp was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Optical World · NPI 1124179346
Optometrist organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since January 15, 2007.
## Identity
- **NPI:** 1124179346 (Entity type: Organization)
- **Enumerated:** January 15, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Jartll Corp
- **Organization subpart:** No
- **Authorized official:** Heather Kingery, INSURANCE SUPERVISOR
## Practice location
- **Address:** 15336 GRAND RIVER AVE, Detroit, MI 48227-2215
- **Phone:** (313) 836-1666 · **Fax:** (313) 836-1066
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2012
- **Other identifiers:** Medicaid 1124179346 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1124179346) · Data from the CMS NPPES public registry.