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ELITE VISION CENTER LLC
NPI 1295008803
Optometrist in Middlesboro, KY

Active since February 13, 2012CLIA 18D2324491 · Waiver
1403 CUMBERLAND AVE, SUITE A, MIDDLESBORO, KY 40965(606) 248-2549(606) 248-9188 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elite Vision Center Llc NPPES

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

ELITE VISION CENTER LLC (NPI 1295008803) is a healthcare organization registered as an optometrist in Middlesboro, Kentucky and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Kyle Matthew Barnes, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1295008803
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameELITE VISION CENTER LLC
Location Address1403 CUMBERLAND AVE, SUITE AMiddlesboro, KY 40965-1158
Mailing Address1403 Cumberland Ave, Suite AMiddlesboro, KY 40965-1158 · (606) 248-2549 · Fax (606) 248-9188
Phone(606) 248-2549
Fax(606) 248-9188
Organization SubpartNo
Authorized OfficialKyle Matthew BarnesMember/owner · (606) 248-2549
Enumeration DateFebruary 13, 2012
Last NPPES UpdateAugust 16, 2012
✔ NPI 1295008803 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 KY · KY 1711
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.
1403 CUMBERLAND AVE, Middlesboro, KY 40965
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Other Identifiers 4

Medicare PINK036570KY
Medicaid7100202310KY
Medicare NSC6693730001KY
Medicaid1526915TN

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Elite Vision Center Llc 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 Elite Vision Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Holly Booth, O.D.
Optometry
NPI 1194749473
1502 CUMBERLAND AVE
Middlesboro, KY 40965
(606) 248-0932
✔ PECOSSame address
Kyle Barnes, OD
Optometry
NPI 1982896593
334 HIGHWAY 92 S SUITE 7
Dandridge, TN 37725
(865) 397-9991
✔ PECOS41 mi
Heather Lavallee, OD
Optometry
NPI 1679182448
355 LANGDON ST
Somerset, KY 42503
(606) 877-1877
✔ PECOS✔ Accepts Medicare61 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 18D2324491

Elite Vision Center · Middlesboro, KY
Active · expires May 26, 2027
CLIA Number18D2324491
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorMr. Kyle M. Barnes
Laboratory Phone(606) 248-2549
Laboratory LocationElite Vision Center1403 Cumberland Ave Suite A, Middlesboro, KY 40965
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elite Vision Center LLC's NPI number?

The NPI number for Elite Vision Center LLC is 1295008803. It was assigned to this organization in the NPPES registry on February 13, 2012.

Where is Elite Vision Center LLC located?

Elite Vision Center LLC is located at 1403 Cumberland Ave Suite A, Middlesboro, KY 40965. The listed phone number is (606) 248-2549.

What is Elite Vision Center LLC's specialty?

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

Is Elite Vision Center LLC enrolled in Medicare?

Yes. Elite Vision Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Vision Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Elite Vision Center LLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elite Vision Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2324491) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elite Vision Center LLC 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 list Elite Vision Center LLC 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 Elite Vision Center LLC was last updated on August 16, 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.