PROFESSIONAL VISION CENTER
NPI 1275808347
Optometrist in Du Bois, PA

Active since March 21, 2012
5522 SHAFFER RD UNIT 127, DU BOIS, PA 15801(814) 371-2211(814) 371-5015 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Professional Vision Center NPPES

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

PROFESSIONAL VISION CENTER (NPI 1275808347) is a healthcare organization registered as an optometrist in Du Bois, Pennsylvania and active in the NPI registry since March 2012. The organization lists David J Kairys, Owner, as its authorized official.

NPPES Registry Identity

NPI1275808347
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDAVID J KAIRYS ODPC
Location Address5522 SHAFFER RD UNIT 127Du Bois, PA 15801-3319
Mailing Address5522 Shaffer Rd Unit 127Du Bois, PA 15801-3319 · (814) 371-2211 · Fax (814) 371-5015
Fax(814) 371-5015
Organization SubpartNo
Authorized OfficialDavid J KairysOwner · (814) 371-2211
Enumeration DateMarch 21, 2012
✔ NPI 1275808347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG000054
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.
5522 SHAFFER RD UNIT 127, Du Bois, PA 15801

Other Names 1

Doing Business AsProfessional Vision Center

Other Identifiers 8

Medicare PINKA401335PA
Other52270PA · Davis
Medicaid0012992050003PA
Other911047PA · Eyemed
Other26109PA · Optumhealth
Medicare UPINT30164PA
Other8143712211PA · Vsp
Other05522PA · Vba

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20120802000266Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Professional Vision Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1730142134
5522 SHAFFER RD SUITE 127
Du Bois, PA 15801
(814) 371-2210
✔ PECOS✔ Accepts Medicare0.2 mi
Optometry
NPI 1013164698
5522 SHAFFER RD UNIT 127
Du Bois, PA 15801
(814) 371-2211
✔ PECOS0.2 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 David J Kairys Odpc's NPI number?

The NPI number for David J Kairys Odpc is 1275808347. It was assigned to this organization in the NPPES registry on March 21, 2012. The provider is doing business as Professional Vision Center.

Where is David J Kairys Odpc located?

David J Kairys Odpc is located at 5522 Shaffer Rd Unit 127, Du Bois, PA 15801. The listed phone number is (814) 371-2211.

What is David J Kairys Odpc's specialty?

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

Is David J Kairys Odpc enrolled in Medicare?

Yes. David J Kairys Odpc is registered in the Medicare PECOS enrollment system.

When is David J Kairys Odpc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through David J Kairys Odpc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to David J Kairys Odpc. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does David J Kairys Odpc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list David J Kairys Odpc 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 David J Kairys Odpc was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.