BRAIN & EYE CONNECTION VISION CLINIC, PC
NPI 1205105780
Clinic/Center - Health Service in Oklahoma City, OK
About Brain & Eye Connection Vision Clinic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAIN & EYE CONNECTION VISION CLINIC, PC (NPI 1205105780) is a healthcare organization registered as a health service in Oklahoma City, Oklahoma and active in the NPI registry since December 2011. The organization lists Carolanne Hope Roach, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Brain & Eye Connection Vision Clinic, Pc 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 Brain & Eye Connection Vision Clinic, PC, 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 Brain & Eye Connection Vision Clinic, PC's NPI number?
The NPI number for Brain & Eye Connection Vision Clinic, PC is 1205105780. It was assigned to this organization in the NPPES registry on December 29, 2011.
Where is Brain & Eye Connection Vision Clinic, PC located?
Brain & Eye Connection Vision Clinic, PC is located at 1530 SW 89th St Ste D6, Oklahoma City, OK 73159. The listed phone number is (405) 703-3163.
What is Brain & Eye Connection Vision Clinic, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Brain & Eye Connection Vision Clinic, PC enrolled in Medicare?
Yes. Brain & Eye Connection Vision Clinic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brain & Eye Connection Vision Clinic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Brain & Eye Connection Vision Clinic, PC. 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 Brain & Eye Connection Vision Clinic, PC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Brain & Eye Connection Vision Clinic, PC 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 Brain & Eye Connection Vision Clinic, PC was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Brain & Eye Connection Vision Clinic, Pc · NPI 1205105780
Health Service organization in Oklahoma City, Oklahoma. Organization record, active in the CMS NPPES registry since December 29, 2011.
## Identity
- **NPI:** 1205105780 (Entity type: Organization)
- **Enumerated:** December 29, 2011
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Carolanne Roach, PRESIDENT
## Practice location
- **Address:** 1530 SW 89TH ST STE D6, Oklahoma City, OK 73159-6366
- **Phone:** (405) 703-3163 · **Fax:** (405) 353-6718
## 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:** May 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205105780) · Data from the CMS NPPES public registry.