AVERY VISION CENTER PC
NPI 1174677959
Optometrist in St Johns, MI
About Avery Vision Center Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERY VISION CENTER PC (NPI 1174677959) is a healthcare organization registered as an optometrist in St Johns, Michigan and active in the NPI registry since January 2007. The organization lists Edward A Peters, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avery Vision Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Avery Vision Center PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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
Medicare supplier enrollment and the product categories Avery Vision Center carries, from the Medicare DMEPOS supplier directory.
Avery Vision Center
DMEPOS supplier · Saint Johns, MIOperated by Avery Vision Center PCAccepts Medicare assignment
Avery Vision Center 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 Avery Vision Center PC's NPI number?
The NPI number for Avery Vision Center PC is 1174677959. It was assigned to this organization in the NPPES registry on January 22, 2007.
Where is Avery Vision Center PC located?
Avery Vision Center PC is located at 1002 N Us 27, St Johns, MI 48879. The listed phone number is (989) 224-3937.
What is Avery Vision Center PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Avery Vision Center PC enrolled in Medicare?
Yes. Avery Vision Center PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avery Vision Center PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Avery Vision Center PC. 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 at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avery Vision Center PC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Avery Vision Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Avery Vision Center PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 8 other insurers list Avery Vision Center 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 Avery Vision Center PC was last updated on March 3, 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.
# Avery Vision Center Pc · NPI 1174677959
Optometrist organization in St Johns, Michigan. Organization record, active in the CMS NPPES registry since January 22, 2007.
## Identity
- **NPI:** 1174677959 (Entity type: Organization)
- **Enumerated:** January 22, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Edward Peters, OPTOMETRIST
## Practice location
- **Address:** 1002 N US 27, St Johns, MI 48879
- **Phone:** (989) 224-3937 · **Fax:** (989) 224-4999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2008
- **Other identifiers:** Medicare PIN 0365160001 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1174677959) · Data from the CMS NPPES public registry.