PEARLE VISION 8142
NPI 1194355917
Eyewear Supplier in Jacksonville, IL
About Pearle Vision 8142 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEARLE VISION 8142 (NPI 1194355917) is a healthcare organization registered as an eyewear supplier in Jacksonville, Illinois and active in the NPI registry since January 2020. The organization lists Benjamin J Ribble, Corporate Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Pearle Vision 8142 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pearle Vision 8142, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Fr Vision 360, Inc.'s NPI number?
The NPI number for Fr Vision 360, Inc. is 1194355917. It was assigned to this organization in the NPPES registry on January 21, 2020. The provider is doing business as Pearle Vision 8142.
Where is Fr Vision 360, Inc. located?
Fr Vision 360, Inc. is located at 111 E Morton Ave, Jacksonville, IL 62650. The listed phone number is (217) 883-4553.
What is Fr Vision 360, Inc.'s specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Fr Vision 360, Inc. enrolled in Medicare?
Yes. Fr Vision 360, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fr Vision 360, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Fr Vision 360, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fr Vision 360, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Fr Vision 360, 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 Fr Vision 360, Inc. was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Pearle Vision 8142 · NPI 1194355917
Eyewear Supplier organization in Jacksonville, Illinois. Organization record, active in the CMS NPPES registry since January 21, 2020.
## Identity
- **NPI:** 1194355917 (Entity type: Organization)
- **Enumerated:** January 21, 2020
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Legal business name:** Fr Vision 360, Inc.
- **Organization subpart:** No
- **Authorized official:** Benjamin Ribble, CORPORATE SECRETARY
## Practice location
- **Address:** 111 E MORTON AVE, Jacksonville, IL 62650-3059
- **Phone:** (217) 883-4553 · **Fax:** (217) 883-4576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1194355917) · Data from the CMS NPPES public registry.