MT. VERNON EYE CLINIC, PLLC
NPI 1275394009
Optometrist in Mount Vernon, IL

Active since January 18, 2024
4 WESTWOOD DR, MOUNT VERNON, IL 62864(618) 242-7810 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mt. Vernon Eye Clinic, Pllc NPPES

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

MT. VERNON EYE CLINIC, PLLC (NPI 1275394009), doing business as Mt. Vernon Eye Clinic, is a healthcare organization registered as an optometrist in Mount Vernon, Illinois and active in the NPI registry since January 2024. The organization lists Elizabeth Wolff, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1275394009
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMT. VERNON EYE CLINIC, PLLC
Location Address4 WESTWOOD DRMount Vernon, IL 62864-2212
Mailing Address25 Clearlake DrCentralia, IL 62801-3720
Organization SubpartNo
Authorized OfficialElizabeth WolffOptometrist/owner · (618) 339-4784
Enumeration DateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1275394009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4 WESTWOOD DR, Mount Vernon, IL 62864

Other Names 1

Doing Business AsMt. Vernon Eye Clinic

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 SINGLE SPECIALTY GROUP

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)

Mt. Vernon Eye Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mt. Vernon Eye Clinic, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1811285869
400 N BROADWAY AVE
Salem, IL 62881
(618) 548-3506
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1598915811
400 N BROADWAY AVE
Salem, IL 62881
(618) 548-3506
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1326192808
400 NORTH BROADWAY
Salem, IL 62881
(618) 548-3506
✔ PECOS✔ Accepts Medicare21 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 Mt. Vernon Eye Clinic, PLLC's NPI number?

The NPI number for Mt. Vernon Eye Clinic, PLLC is 1275394009. It was assigned to this organization in the NPPES registry on January 18, 2024. The provider is doing business as Mt. Vernon Eye Clinic.

Where is Mt. Vernon Eye Clinic, PLLC located?

Mt. Vernon Eye Clinic, PLLC is located at 4 Westwood Dr, Mount Vernon, IL 62864. The listed phone number is (618) 242-7810.

What is Mt. Vernon Eye Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mt. Vernon Eye Clinic, PLLC enrolled in Medicare?

Yes. Mt. Vernon Eye Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mt. Vernon Eye Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Mt. Vernon Eye Clinic, 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 Mt. Vernon Eye Clinic, 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 Medica list Mt. Vernon Eye Clinic, 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 Mt. Vernon Eye Clinic, PLLC was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.