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AEDANN VILLANUEVA
NPI 1194642264
Optometrist in Dallas, TX

Active since June 30, 2026PECOS Enrolled
8074 SPRING VALLEY RD, DALLAS, TX 75240(469) 809-2020 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Aedann Villanueva NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AEDANN VILLANUEVA (NPI 1194642264) is an individual optometrist in Dallas, Texas, licensed in Texas (11695TG) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1194642264
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameAEDANN VILLANUEVA
Location Address8074 SPRING VALLEY RDDallas, TX 75240-3827
Mailing Address8074 Spring Valley RdDallas, TX 75240-3827 · (469) 809-2020
Phone(469) 809-2020
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJune 30, 2026
Last NPPES UpdateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1194642264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 11695TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
8074 SPRING VALLEY RD, Dallas, TX 75240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aedann Villanueva is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749748200
PECOS Enrollment IDI20260815000491
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Aedann Villanueva reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Goto Eye Associates LLC
12 mi
Optometrist
4396 DALLAS FORT WORTH TPKE STE 107
Dallas, TX 75211
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1609656933 (214) 550-5005

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ASHLEY SABU OD
Optometrist
8074 SPRING VALLEY RD
DALLAS, TX 75240
Dallas County (469) 809-2020

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 Aedann Villanueva's NPI number?

The NPI number for Aedann Villanueva is 1194642264. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Aedann Villanueva located?

Aedann Villanueva practices at 8074 Spring Valley Rd, Dallas, TX 75240. The listed phone number is (469) 809-2020.

What is Aedann Villanueva's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Aedann Villanueva enrolled in Medicare?

Yes. Aedann Villanueva is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Aedann Villanueva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aedann Villanueva reassigns Medicare benefits to Goto Eye Associates LLC (Dallas, TX). The 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 Aedann Villanueva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aedann Villanueva accept?

Health plans from Providence Health Plan list Aedann Villanueva 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 Aedann Villanueva was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.