NORTHSIDE EYECARE ASSOCIATES, LLC
NPI 1306077839
Optometrist in Evansville, IN

Active since July 31, 2009
634 CROSS VALLEY CIR, EVANSVILLE, IN 47710(812) 401-7777(812) 429-0392 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northside Eyecare Associates, Llc NPPES

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

NORTHSIDE EYECARE ASSOCIATES, LLC (NPI 1306077839) is a healthcare organization registered as an optometrist in Evansville, Indiana and active in the NPI registry since July 2009. The organization lists Jeffrey D. Irvin, Owner, as its authorized official.

NPPES Registry Identity

NPI1306077839
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNORTHSIDE EYECARE ASSOCIATES, LLC
Location Address634 CROSS VALLEY CIREvansville, IN 47710-5238
Mailing Address634 Cross Valley CirEvansville, IN 47710-5238 · (812) 401-7777
Fax(812) 429-0392
Organization SubpartNo
Authorized OfficialJeffrey D. IrvinOwner · (812) 401-7777
Enumeration DateJuly 31, 2009
Last NPPES UpdateJanuary 21, 2013
✔ NPI 1306077839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IN · 18003164✔ Licensed in IN · 18003181
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.
634 CROSS VALLEY CIR, Evansville, IN 47710

Other Identifiers 4

OtherDR3932IN · Railroad Medicare
Medicare PIN266370IN
Other6503910001IN · Dmerc
Medicaid200981140IN

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 MULTIPLE 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)

Northside Eyecare Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20100324000165Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Northside Eyecare Associates, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Optometry
NPI 1013025683
634 CROSS VALLEY CIR
Evansville, IN 47710
(812) 401-7777
✔ PECOSSame address
Optometry
NPI 1528053113
634 CROSS VALLEY CIR
Evansville, IN 47710
(812) 401-7777
✔ PECOSSame address
Optometry
NPI 1356073662
634 CROSS VALLEY CIR
Evansville, IN 47710
(812) 401-7777
✔ PECOSSame address
Optometry
NPI 1245750785
634 CROSS VALLEY CIR
Evansville, IN 47710
(812) 401-7777
✔ PECOSSame address
Optometry
NPI 1770894222
634 CROSS VALLEY CIR
Evansville, IN 47710
(812) 401-7777
✔ PECOSSame address

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

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Northside Eyecare Associates LLC carries, from the Medicare DMEPOS supplier directory.

Northside Eyecare Associates LLC

DMEPOS supplier · Evansville, IN
✔

Accepts Medicare assignment

Northside Eyecare Associates LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20540777
Medicare Participant SinceApril 22, 2010
Supplier Location634 Cross Valley CirEvansville, IN 47710
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Northside Eyecare Associates, LLC's NPI number?

The NPI number for Northside Eyecare Associates, LLC is 1306077839. It was assigned to this organization in the NPPES registry on July 31, 2009.

Where is Northside Eyecare Associates, LLC located?

Northside Eyecare Associates, LLC is located at 634 Cross Valley Cir, Evansville, IN 47710. The listed phone number is (812) 401-7777.

What is Northside Eyecare Associates, LLC's specialty?

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

Is Northside Eyecare Associates, LLC enrolled in Medicare?

Yes. Northside Eyecare Associates, LLC is registered in the Medicare PECOS enrollment system.

When is Northside Eyecare Associates, LLC'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 (Indiana, Clinic/Group Practice) is due for revalidation by January 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 Northside Eyecare Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Northside Eyecare Associates, 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, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northside Eyecare Associates, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Northside Eyecare Associates LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Northside Eyecare Associates, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 6 other insurers list Northside Eyecare Associates, 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 Northside Eyecare Associates, LLC was last updated on January 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.