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NATIONWIDE VISION CENTER, LLC
NPI 1205995388
Technician/Technologist - Optician in Mesa, AZ

Active since December 06, 2006
955 W SOUTHERN AVE STE 101, MESA, AZ 85210(480) 961-1865(480) 893-8172 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2023, Dec 16, 2022, Oct 11, 2019 (3 updates tracked since 2019).

About Nationwide Vision Center, Llc NPPES

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

NATIONWIDE VISION CENTER, LLC (NPI 1205995388) is a healthcare organization registered as an optician in Mesa, Arizona and active in the NPI registry since December 2006. The organization lists Joseph Pravoot Gira, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1205995388
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameNATIONWIDE VISION CENTER, LLC
Location Address955 W SOUTHERN AVE STE 101Mesa, AZ 85210-4903
Mailing Address955 W Southern Ave Ste 101Mesa, AZ 85210-4903 · (480) 961-1865 · Fax (480) 961-4605
Phone(480) 961-1865
Fax(480) 893-8172
Organization SubpartNo
Authorized OfficialJoseph Pravoot GiraChief Medical Officer · (314) 909-0633
Enumeration DateDecember 6, 2006
Last NPPES UpdateJune 23, 20233 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1205995388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
955 W SOUTHERN AVE STE 101, Mesa, AZ 85210
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, 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)

Nationwide Vision Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Nationwide Vision Center, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Lynn Polonski, MD
Ophthalmology
NPI 1871674507
3925 E FORT LOWELL RD STE 100
Tucson, AZ 85712
(520) 576-5110
✔ PECOS✔ Accepts Medicare95 mi
Ovette Villavicencio, M.D, PH.D.
Ophthalmology
NPI 1972814374
3925 E FORT LOWELL RD STE 100
Tucson, AZ 85712
(520) 576-5110
✔ PECOS✔ Accepts Medicare95 mi
Caroline Watson, M.D.
Ophthalmology
NPI 1144756875
3810 GOVERNORS DR SW STE 200
Huntsville, AL 35805
(256) 678-7969
✔ PECOS✔ Accepts Medicare1,447 mi
Michael Scanameo, MD
Ophthalmology
NPI 1205819331
200 N TILLOTSON AVE
Muncie, IN 47304
(765) 286-8888
✔ PECOS✔ Accepts Medicare1,532 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 Nationwide Vision Center, LLC's NPI number?

The NPI number for Nationwide Vision Center, LLC is 1205995388. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Nationwide Vision Center, LLC located?

Nationwide Vision Center, LLC is located at 955 W Southern Ave Ste 101, Mesa, AZ 85210. The listed phone number is (480) 961-1865.

What is Nationwide Vision Center, LLC's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Is Nationwide Vision Center, LLC enrolled in Medicare?

Yes. Nationwide Vision Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nationwide Vision Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Nationwide 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 Nationwide Vision Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Nationwide 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 Nationwide Vision Center, LLC was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.