SIERRA VISTA VISION
NPI 1417298464
Optometrist in Sierra Vista, AZ

Q: What is Sierra Vista Vision's NPI number?

The NPI number for Sierra Vista Vision is 1417298464. It was assigned to this organization in the NPPES registry on March 14, 2013.

Q: What is Sierra Vista Vision's specialty?

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

Active since March 14, 2013

1502 E FRY BLVD STE 2, SIERRA VISTA, AZ 85635(520) 335-1643 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sierra Vista Vision NPPES

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

SIERRA VISTA VISION (NPI 1417298464) is a healthcare organization registered as an optometrist in Sierra Vista, Arizona and active in the NPI registry since March 2013. The organization lists Spencer Ray, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1417298464

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSIERRA VISTA VISION

Location Address1502 E FRY BLVD STE 2Sierra Vista, AZ 85635-2746

Mailing Address1502 E Fry Blvd Ste 2Sierra Vista, AZ 85635-2746

Phone(520) 335-1643

Organization SubpartNo

Authorized OfficialSpencer RayOptometrist · (520) 335-1643

Enumeration DateMarch 14, 2013

Last NPPES UpdateMay 10, 2021

NPPES CertifiedMay 10, 2021

✔ NPI 1417298464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AZ · 1701

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.

1502 E FRY BLVD STE 2, Sierra Vista, AZ 85635

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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Health Plan, Inc..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)

Sierra Vista Vision 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 Sierra Vista Vision, which bills Medicare for the services this clinician delivers.

Clinician (1)

Spencer Ray, O.D.

Optometry

NPI 1821229725

1502 E FRY BLVD STE 2
Sierra Vista, AZ 85635

(520) 335-1643

✔ PECOS✔ Accepts MedicareSame 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 Sierra Vista Vision's NPI number?

The NPI number for Sierra Vista Vision is 1417298464. It was assigned to this organization in the NPPES registry on March 14, 2013.

Where is Sierra Vista Vision located?

Sierra Vista Vision is located at 1502 E Fry Blvd Ste 2, Sierra Vista, AZ 85635. The listed phone number is (520) 335-1643.

What is Sierra Vista Vision's specialty?

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

Is Sierra Vista Vision enrolled in Medicare?

Yes. Sierra Vista Vision is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sierra Vista Vision?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Sierra Vista Vision. 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 Sierra Vista Vision accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health Plan, Inc. list Sierra Vista Vision 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 Sierra Vista Vision was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.