PASSAIC VISION CENTER ,LLC.
NPI 1194912154
Eyewear Supplier in Passaic, NJ

Active since October 03, 2007
289 MONROE ST., PASSAIC VISION CENTER, PASSAIC, NJ 07055(973) 473-5151(973) 473-3331 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Passaic Vision Center ,llc. NPPES

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

PASSAIC VISION CENTER ,LLC. (NPI 1194912154) is a healthcare organization registered as an eyewear supplier in Passaic, New Jersey and active in the NPI registry since October 2007. The organization lists Luis Mendoza, Owner, as its authorized official.

NPPES Registry Identity

NPI1194912154
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NamePASSAIC VISION CENTER ,LLC.
Location Address289 MONROE ST., PASSAIC VISION CENTERPassaic, NJ 07055-5209
Mailing AddressPo Box 1758Clifton, NJ 07015-1758 · (973) 473-5151 · Fax (973) 473-3331
Fax(973) 473-3331
Organization SubpartNo
Authorized OfficialLuis MendozaOwner · (973) 473-5151
Enumeration DateOctober 3, 2007
Last NPPES UpdateNovember 22, 2013
✔ NPI 1194912154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
289 MONROE ST., Passaic, NJ 07055

Other Identifiers 3

Medicare NSC6728220001NJ
Medicaid0054721NJ
Medicare PIN084669NJ

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)

Passaic Vision Center ,llc. 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 Passaic Vision Center ,llc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1225011950
289 MONROE ST
Passaic, NJ 07055
(973) 473-5151
✔ PECOS✔ Accepts MedicareSame address

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 Passaic Vision Center ,llc.'s NPI number?

The NPI number for Passaic Vision Center ,llc. is 1194912154. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Passaic Vision Center ,llc. located?

Passaic Vision Center ,llc. is located at 289 Monroe St. Passaic Vision Center, Passaic, NJ 07055. The listed phone number is (973) 473-5151.

What is Passaic Vision Center ,llc.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Passaic Vision Center ,llc. enrolled in Medicare?

Yes. Passaic Vision Center ,llc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Passaic Vision Center ,llc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Passaic Vision Center ,llc.. 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 Passaic Vision Center ,llc. accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Passaic Vision Center ,llc. 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 Passaic Vision Center ,llc. was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.