PREMIER EYECARE OF EDMOND PLLC
NPI 1295930410
Optometrist in Edmond, OK
About Premier Eyecare Of Edmond Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER EYECARE OF EDMOND PLLC (NPI 1295930410) is a healthcare organization registered as an optometrist in Edmond, Oklahoma and active in the NPI registry since June 2007. The organization lists Amber Mayes, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Premier Eyecare Of Edmond Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Premier Eyecare Of Edmond PLLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Premier Eyecare Of Edmond PLLC's NPI number?
The NPI number for Premier Eyecare Of Edmond PLLC is 1295930410. It was assigned to this organization in the NPPES registry on June 18, 2007.
Where is Premier Eyecare Of Edmond PLLC located?
Premier Eyecare Of Edmond PLLC is located at 2841 NW 173rd Street, Edmond, OK 73003. The listed phone number is (405) 513-8150.
What is Premier Eyecare Of Edmond PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Premier Eyecare Of Edmond PLLC enrolled in Medicare?
Yes. Premier Eyecare Of Edmond PLLC is registered in the Medicare PECOS enrollment system.
When is Premier Eyecare Of Edmond PLLC'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 (Oklahoma, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Premier Eyecare Of Edmond PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Premier Eyecare Of Edmond 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. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Premier Eyecare Of Edmond PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Premier Eyecare Of Edmond 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 Premier Eyecare Of Edmond PLLC was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Premier Eyecare Of Edmond Pllc · NPI 1295930410
Optometrist organization in Edmond, Oklahoma. Organization record, active in the CMS NPPES registry since June 18, 2007.
## Identity
- **NPI:** 1295930410 (Entity type: Organization)
- **Enumerated:** June 18, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Amber Mayes, OPTOMETRIST
## Practice location
- **Address:** 2841 NW 173RD STREET, Edmond, OK 73003
- **Phone:** (405) 513-8150 · **Fax:** (405) 513-8153
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2026
- **Other identifiers:** Medicaid 200115110A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1295930410) · Data from the CMS NPPES public registry.