MOSHANNON VALLEY EYE CARE LLC
NPI 1205107356
Optometrist in Houtzdale, PA

Active since January 21, 2012
612 CLARA ST, SUITE 1, HOUTZDALE, PA 16651(814) 378-7700(814) 378-7704 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Moshannon Valley Eye Care Llc NPPES

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

MOSHANNON VALLEY EYE CARE LLC (NPI 1205107356) is a healthcare organization registered as an optometrist in Houtzdale, Pennsylvania and active in the NPI registry since January 2012. The organization lists John Joseph Shedlock, Owner, as its authorized official.

NPPES Registry Identity

NPI1205107356
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMOSHANNON VALLEY EYE CARE LLC
Location Address612 CLARA ST, SUITE 1Houtzdale, PA 16651-1115
Mailing Address612 Clara St, Suite 1Houtzdale, PA 16651-1115 · (814) 378-7700
Fax(814) 378-7704
Organization SubpartNo
Authorized OfficialJohn Joseph ShedlockOwner · (814) 378-7700
Enumeration DateJanuary 21, 2012
Last NPPES UpdateAugust 17, 2012
✔ NPI 1205107356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in PA · OEG-002084✔ Licensed in PA · OEG-002053
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.
612 CLARA ST, Houtzdale, PA 16651

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 MULTIPLE SINGLE SPECIALTY GROUP

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)

Moshannon Valley Eye Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Moshannon Valley Eye Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1184889388
612 CLARA ST STE 1
Houtzdale, PA 16651
(814) 378-7700
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1316193139
690 SHAFFER RD
Dubois, PA 15801
(814) 375-9280
✔ PECOS✔ Accepts Medicare28 mi

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 Moshannon Valley Eye Care LLC's NPI number?

The NPI number for Moshannon Valley Eye Care LLC is 1205107356. It was assigned to this organization in the NPPES registry on January 21, 2012.

Where is Moshannon Valley Eye Care LLC located?

Moshannon Valley Eye Care LLC is located at 612 Clara St Suite 1, Houtzdale, PA 16651. The listed phone number is (814) 378-7700.

What is Moshannon Valley Eye Care LLC's specialty?

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

Is Moshannon Valley Eye Care LLC enrolled in Medicare?

Yes. Moshannon Valley Eye Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moshannon Valley Eye Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Moshannon Valley Eye Care 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Moshannon Valley Eye Care LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 7 other insurers list Moshannon Valley Eye Care 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 Moshannon Valley Eye Care LLC was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.