ADVANCED EYE CARE
NPI 1366591539
Optometrist in San Angelo, TX
About Advanced Eye Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED EYE CARE (NPI 1366591539) is a healthcare organization registered as an optometrist in San Angelo, Texas and active in the NPI registry since January 2007. The organization lists Laci Ray, Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
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)
Advanced Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Advanced Eye Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Angelo Eye Associates PA's NPI number?
The NPI number for Angelo Eye Associates PA is 1366591539. It was assigned to this organization in the NPPES registry on January 9, 2007. The provider is doing business as Advanced Eye Care.
Where is Angelo Eye Associates PA located?
Angelo Eye Associates PA is located at 1721 Knickerbocker Rd, San Angelo, TX 76904. The listed phone number is (325) 944-8531.
What is Angelo Eye Associates PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Angelo Eye Associates PA enrolled in Medicare?
Yes. Angelo Eye Associates PA is registered in the Medicare PECOS enrollment system.
When is Angelo Eye Associates PA'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 (Texas, Clinic/Group Practice) is due for revalidation by February 28, 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 Angelo Eye Associates PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Angelo Eye Associates PA. 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 Angelo Eye Associates PA 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 Angelo Eye Associates PA 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 Angelo Eye Associates PA was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Advanced Eye Care · NPI 1366591539
Optometrist organization in San Angelo, Texas. Organization record, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1366591539 (Entity type: Organization)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Angelo Eye Associates Pa
- **Organization subpart:** No
- **Authorized official:** Laci Ray, ASSISTANT
## Practice location
- **Address:** 1721 KNICKERBOCKER RD, San Angelo, TX 76904-5521
- **Phone:** (325) 944-8531 · **Fax:** (325) 944-4213
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2016
- **Other identifiers:** Other 1114028883 (TX); Other 80301Q (TX); Medicaid 1658809-01 (TX); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1366591539) · Data from the CMS NPPES public registry.