SOUTH GIBSON EYECARE ASSOCIATES, LLC
NPI 1407123128
Optometrist in Haubstadt, IN
About South Gibson Eyecare Associates, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH GIBSON EYECARE ASSOCIATES, LLC (NPI 1407123128) is a healthcare organization registered as an optometrist in Haubstadt, Indiana and active in the NPI registry since November 2011. The organization lists Jeffrey D Irvin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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)
South Gibson Eyecare Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to South Gibson Eyecare Associates, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
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 South Gibson Eyecare Associates, LLC's NPI number?
The NPI number for South Gibson Eyecare Associates, LLC is 1407123128. It was assigned to this organization in the NPPES registry on November 23, 2011.
Where is South Gibson Eyecare Associates, LLC located?
South Gibson Eyecare Associates, LLC is located at 831 S 9th Ave, Haubstadt, IN 47639. The listed phone number is (812) 615-0277.
What is South Gibson Eyecare Associates, LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is South Gibson Eyecare Associates, LLC enrolled in Medicare?
Yes. South Gibson Eyecare Associates, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Gibson Eyecare Associates, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to South Gibson 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Gibson 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 5 other insurers list South Gibson 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 South Gibson Eyecare Associates, LLC was last updated on January 13, 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.
# South Gibson Eyecare Associates, Llc · NPI 1407123128
Optometrist organization in Haubstadt, Indiana. Organization record, active in the CMS NPPES registry since November 23, 2011.
## Identity
- **NPI:** 1407123128 (Entity type: Organization)
- **Enumerated:** November 23, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Irvin, OWNER
## Practice location
- **Address:** 831 S 9TH AVE, Haubstadt, IN 47639-8244
- **Phone:** (812) 615-0277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2012
- **Other identifiers:** Medicare PIN M100059935 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1407123128) · Data from the CMS NPPES public registry.