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SOUTH HOLLAND VISION CENTER
NPI 1194960492
Optometrist in South Holland, IL

Active since December 16, 2008
353 E 162ND ST, SOUTH HOLLAND, IL 60473(708) 331-3553(708) 331-3722 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About South Holland Vision Center NPPES

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

SOUTH HOLLAND VISION CENTER (NPI 1194960492) is a healthcare organization registered as an optometrist in South Holland, Illinois and active in the NPI registry since December 2008. The organization lists Lonnie Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1194960492
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLW VISION INCORPORATED
Location Address353 E 162ND STSouth Holland, IL 60473-2100
Mailing Address353 E 162nd StSouth Holland, IL 60473-2100 · (708) 331-3553 · Fax (708) 331-3722
Phone(708) 331-3553
Fax(708) 331-3722
Organization SubpartNo
Authorized OfficialLonnie WilliamsOwner · (708) 331-3553
Enumeration DateDecember 16, 2008
Last NPPES UpdateDecember 17, 2013
✔ NPI 1194960492 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 IL · 04608205
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.
353 E 162ND ST, South Holland, IL 60473
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Other Names 1

Doing Business AsSouth Holland Vision Center

Other Identifiers 2

Medicare UPINU09666IL
Medicare PIN937611IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.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)

South Holland Vision Center 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 South Holland Vision Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lonnie Williams, OD
Optometry
NPI 1225045669
353 E 162ND ST
South Holland, IL 60473
(708) 331-3553
✔ 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 Lw Vision Incorporated's NPI number?

The NPI number for Lw Vision Incorporated is 1194960492. It was assigned to this organization in the NPPES registry on December 16, 2008. The provider is doing business as South Holland Vision Center.

Where is Lw Vision Incorporated located?

Lw Vision Incorporated is located at 353 E 162nd St, South Holland, IL 60473. The listed phone number is (708) 331-3553.

What is Lw Vision Incorporated's specialty?

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

Is Lw Vision Incorporated enrolled in Medicare?

Yes. Lw Vision Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lw Vision Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Lw Vision Incorporated. 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 Lw Vision Incorporated accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Lw Vision Incorporated 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 Lw Vision Incorporated was last updated on December 17, 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.