VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
NPI 1215507587
Durable Medical Equipment & Medical Supplies in Montrose, PA

Active since June 29, 2021CLIA Certified · 2 labs
16749 STATE ROUTE 706 STE 4, MONTROSE, PA 18801(570) 278-2279 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Mar 7, 2025, Oct 25, 2022 and 1 more (4 updates tracked since 2021).

About Vision Innovation Centers Of Pennsylvania Llc NPPES

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

VISION INNOVATION CENTERS OF PENNSYLVANIA LLC (NPI 1215507587) is a healthcare organization registered as a durable medical equipment & medical supplies in Montrose, Pennsylvania and active in the NPI registry since June 2021. The organization holds 2 active CLIA laboratory certificates and lists Michael C Pascetta, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215507587
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameVISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Location Address16749 STATE ROUTE 706 STE 4Montrose, PA 18801-6502
Mailing Address703 Rutter AveKingston, PA 18704-4801 · (410) 571-8733
Organization SubpartNo
Authorized OfficialMichael C PascettaCfo · (860) 652-5002
Enumeration DateJune 29, 2021
Last NPPES UpdateApril 9, 20264 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1215507587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
Also ListedOphthalmologyTaxonomy 207W00000X
16749 STATE ROUTE 706 STE 4, Montrose, PA 18801

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2275630

Vision Innovation Centers Of PA · Montrose, PA
Active · expires Jan 24, 2027
CLIA Number39D2275630
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorDr. Arthur J. Jordan
Laboratory Phone(570) 278-2279
Laboratory LocationVision Innovation Centers Of PA16749 State Route 706 Ste 4, Montrose, PA 18801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2275633

Vision Innovation Centers Of PA · Peckville, PA
Active · expires Jan 24, 2027
CLIA Number39D2275633
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorDr. Arthur J. Jordan
Laboratory Phone(570) 278-2279
Laboratory LocationVision Innovation Centers Of PA1582 Main Street, Peckville, PA 18452
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Vision Innovation Centers Of PA LLC carries, from the Medicare DMEPOS supplier directory.

Vision Innovation Centers Of PA LLC

DMEPOS supplier · Montrose, PA

Accepts Medicare assignment

Vision Innovation Centers Of PA 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.

PTAN (Medicare Supplier Number)20418065
Medicare Participant SinceJanuary 1, 2020
Supplier Location16749 State Route 706 Ste 4Montrose, PA 18801
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
16749 STATE ROUTE 706 STE 4
MONTROSE, PA 18801
Optometrist
16749 STATE ROUTE 706 STE 4
MONTROSE, PA 18801
Optometrist
16749 STATE ROUTE 706 STE 4
MONTROSE, PA 18801

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 Vision Innovation Centers Of Pennsylvania LLC's NPI number?

The NPI number for Vision Innovation Centers Of Pennsylvania LLC is 1215507587. It was assigned to this organization in the NPPES registry on June 29, 2021.

Where is Vision Innovation Centers Of Pennsylvania LLC located?

Vision Innovation Centers Of Pennsylvania LLC is located at 16749 State Route 706 Ste 4, Montrose, PA 18801. The listed phone number is (570) 278-2279.

What is Vision Innovation Centers Of Pennsylvania LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Vision Innovation Centers Of Pennsylvania LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Vision Innovation Centers Of PA LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Vision Innovation Centers Of Pennsylvania LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vision Innovation Centers Of Pennsylvania LLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.