SALEM EYE CLINIC LLC
NPI 1205980786
Optometrist in Salem, IL
About Salem Eye Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALEM EYE CLINIC LLC (NPI 1205980786) is a healthcare organization registered as an optometrist in Salem, Illinois and active in the NPI registry since January 2007. The organization lists Alan D Montgomery, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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)
Salem Eye Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Salem Eye Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Salem Eye Clinic, LLC carries, from the Medicare DMEPOS supplier directory.
Salem Eye Clinic, LLC
DMEPOS supplier · Salem, ILAccepts Medicare assignment
Salem Eye Clinic, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Salem Eye Clinic LLC's NPI number?
The NPI number for Salem Eye Clinic LLC is 1205980786. It was assigned to this organization in the NPPES registry on January 22, 2007.
Where is Salem Eye Clinic LLC located?
Salem Eye Clinic LLC is located at 400 North Broadway, Salem, IL 62881. The listed phone number is (618) 548-3506.
What is Salem Eye Clinic LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Salem Eye Clinic LLC enrolled in Medicare?
Yes. Salem Eye Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Salem Eye Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Salem Eye Clinic 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Salem Eye Clinic LLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Salem Eye Clinic, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Salem Eye Clinic LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee and Medica list Salem Eye Clinic 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 Salem Eye Clinic LLC was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Salem Eye Clinic Llc · NPI 1205980786
Optometrist organization in Salem, Illinois. Organization record, active in the CMS NPPES registry since January 22, 2007.
## Identity
- **NPI:** 1205980786 (Entity type: Organization)
- **Enumerated:** January 22, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Alan Montgomery, OWNER
## Practice location
- **Address:** 400 NORTH BROADWAY, Salem, IL 62881
- **Phone:** (618) 548-3506 · **Fax:** (618) 548-2555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2008
- **Other identifiers:** Other 06132027 (IL); Medicare NSC 1302430001 (IL); Medicare PIN 571730 (IL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1205980786) · Data from the CMS NPPES public registry.