EDISON EYE CARE, PLLC
NPI 1255055646
Optometrist in Estero, FL
About Edison Eye Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDISON EYE CARE, PLLC (NPI 1255055646) is a healthcare organization registered as an optometrist in Estero, Florida and active in the NPI registry since September 2022. The organization lists Benjamin Konynenbelt, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
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)
Edison Eye Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Edison Eye Care, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Edison Eye Care, PLLC's NPI number?
The NPI number for Edison Eye Care, PLLC is 1255055646. It was assigned to this organization in the NPPES registry on September 28, 2022.
Where is Edison Eye Care, PLLC located?
Edison Eye Care, PLLC is located at 19527 Highland Oaks Dr Ste 203, Estero, FL 33928. The listed phone number is (616) 834-2598.
What is Edison Eye Care, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Edison Eye Care, PLLC enrolled in Medicare?
Yes. Edison Eye Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edison Eye Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Edison Eye Care, PLLC. 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 Edison Eye Care, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Edison Eye Care, PLLC 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 Edison Eye Care, PLLC was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Edison Eye Care, Pllc · NPI 1255055646
Optometrist organization in Estero, Florida. Organization record, active in the CMS NPPES registry since September 28, 2022.
## Identity
- **NPI:** 1255055646 (Entity type: Organization)
- **Enumerated:** September 28, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Benjamin Konynenbelt, MEMBER
## Practice location
- **Address:** 19527 HIGHLAND OAKS DR STE 203, Estero, FL 33928-9637
- **Phone:** (616) 834-2598
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1255055646) · Data from the CMS NPPES public registry.