GRANITE CITY VISION, INC.
NPI 1174756902
Preferred Provider Organization in Granite City, IL
About Granite City Vision, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANITE CITY VISION, INC. (NPI 1174756902) is a healthcare organization registered as a preferred provider organization in Granite City, Illinois and active in the NPI registry since August 2009. The organization lists Byron W. Wright, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
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)
Granite City Vision, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Granite City Vision, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (15)
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 Granite City Vision, Inc.'s NPI number?
The NPI number for Granite City Vision, Inc. is 1174756902. It was assigned to this organization in the NPPES registry on August 27, 2009.
Where is Granite City Vision, Inc. located?
Granite City Vision, Inc. is located at 4182 Nameoki Rd., Granite City, IL 62040. The listed phone number is (618) 876-2438.
What is Granite City Vision, Inc.'s specialty?
The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.
Is Granite City Vision, Inc. enrolled in Medicare?
Yes. Granite City Vision, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Granite City Vision, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians, all in Optometry, reassign their Medicare billing to Granite City Vision, Inc.. 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.
What insurance does Granite City Vision, Inc. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Granite City Vision, Inc. 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 Granite City Vision, Inc. was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Granite City Vision, Inc. · NPI 1174756902
Preferred Provider Organization organization in Granite City, Illinois. Organization record, active in the CMS NPPES registry since August 27, 2009.
## Identity
- **NPI:** 1174756902 (Entity type: Organization)
- **Enumerated:** August 27, 2009
- **Primary specialty:** Preferred Provider Organization · taxonomy 305R00000X
- **Organization subpart:** No
- **Authorized official:** Byron Wright, OWNER
## Practice location
- **Address:** 4182 NAMEOKI RD., Granite City, IL 62040-2330
- **Phone:** (618) 876-2438 · **Fax:** (618) 876-2440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 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:** August 26, 2019
- **Other identifiers:** Medicaid 08533 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1174756902) · Data from the CMS NPPES public registry.