VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
NPI 1215507587
Durable Medical Equipment & Medical Supplies in Montrose, PA
NPI Status: Active since June 29, 2021
Contact Information
16749 STATE ROUTE 706 STE 4
MONTROSE, PA
ZIP 18801
Phone: (570) 278-2279
- Organization
- Durable Medical Equipment & Medical Supp...
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 39D2275633
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-24-2027
About VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
This page provides the complete NPI Profile along with additional information for Vision Innovation Centers Of Pennsylvania Llc, a provider established in Montrose, Pennsylvania operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1215507587 assigned on June 2021. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated April 2026. Vision Innovation Centers Of Pennsylvania Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michael C Pascetta (Cfo)
- NPI
- 1215507587
- Provider Name
- VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
- Entity Type
- Organization
- Location Address
- 16749 STATE ROUTE 706 STE 4 MONTROSE, PA 18801
- Location Phone
- (570) 278-2279
- Mailing Address
- 703 RUTTER AVE KINGSTON, PA 18704
- Mailing Phone
- (410) 571-8733
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2021
- Last Update Date
- 04-09-2026
- Code Navigator
Vision Innovation Centers Of Pennsylvania Llc is a medicare supplier with PTAN 20418065 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist | |
| 2 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20418065
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
- Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2275633
- Facility Type
- Physician Office
- Certificate Effective Date
- January 25, 2025
- Certificate Expiration Date
- January 24, 2027
- Laboratory Director
- DR. ARTHUR J. JORDAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Vision Innovation Centers Of Pennsylvania Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215507587, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215507587, enumerated as an "organization" on June 29, 2021.
The provider is located at 16749 STATE ROUTE 706 STE 4 MONTROSE, PA 18801 and the phone number is (570) 278-2279.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
