CUSTOM EYES, LLC
NPI 1386820421
Eyewear Supplier in Henderson, NV

Q: What is Custom Eyes, LLC's NPI number?

The NPI number for Custom Eyes, LLC is 1386820421. It was assigned to this organization in the NPPES registry on January 19, 2008.

Q: What is Custom Eyes, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Q: When was this NPI record last updated?

The NPPES record for Custom Eyes, LLC was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 19, 2008

175 N STEPHANIE ST, SUITE 130, HENDERSON, NV 89074(702) 564-3678(702) 564-7552 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Custom Eyes, Llc NPPES

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

CUSTOM EYES, LLC (NPI 1386820421) is a healthcare organization registered as an eyewear supplier in Henderson, Nevada and active in the NPI registry since January 2008. The organization lists David William Wolosin, Optician/president, as its authorized official.

NPPES Registry Identity

NPI1386820421

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameCUSTOM EYES, LLC

Location Address175 N STEPHANIE ST, SUITE 130Henderson, NV 89074-8829

Mailing AddressPo Box 230747Las Vegas, NV 89105-0747 · (702) 564-3678 · Fax (702) 564-7552

Phone(702) 564-3678

Fax(702) 564-7552

Organization SubpartNo

Authorized OfficialDavid William WolosinOptician/president · (702) 564-3678

Enumeration DateJanuary 19, 2008

Last NPPES UpdateDecember 3, 2013

✔ NPI 1386820421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

License✔ Licensed in NV · 362

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

175 N STEPHANIE ST, Henderson, NV 89074

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield 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)

Custom Eyes, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Custom Eyes, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Wolosin, ABOC, NCLC

Optician

NPI 1497340947

175 N STEPHANIE ST STE 130
Henderson, NV 89074

(702) 564-3678

✔ PECOSSame address

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 Custom Eyes, LLC's NPI number?

The NPI number for Custom Eyes, LLC is 1386820421. It was assigned to this organization in the NPPES registry on January 19, 2008.

Where is Custom Eyes, LLC located?

Custom Eyes, LLC is located at 175 N Stephanie St Suite 130, Henderson, NV 89074. The listed phone number is (702) 564-3678.

What is Custom Eyes, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Custom Eyes, LLC enrolled in Medicare?

Yes. Custom Eyes, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Custom Eyes, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optician) reassigns their Medicare billing to Custom Eyes, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Custom Eyes, LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Custom Eyes, 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 Custom Eyes, LLC was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.