NOSTALGIC EYECARE INC
NPI 1417300849
Clinic/Center - Health Service in Oreland, PA
About Nostalgic Eyecare Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOSTALGIC EYECARE INC (NPI 1417300849) is a healthcare organization registered as a health service in Oreland, Pennsylvania and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through October 17, 2028 and lists Kennard L Herring, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Nostalgic Eyecare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Nostalgic Eyecare Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D2312798
Nostalgic Eye Care · Philadelphia, PAFrequently 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 Nostalgic Eyecare Inc's NPI number?
The NPI number for Nostalgic Eyecare Inc is 1417300849. It was assigned to this organization in the NPPES registry on July 20, 2016.
Where is Nostalgic Eyecare Inc located?
Nostalgic Eyecare Inc is located at 1319 Bruce Rd Apartment B, Oreland, PA 19075. The listed phone number is (718) 825-2067.
What is Nostalgic Eyecare Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Nostalgic Eyecare Inc enrolled in Medicare?
Yes. Nostalgic Eyecare Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nostalgic Eyecare Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Nostalgic Eyecare Inc. 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.
Does Nostalgic Eyecare Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2312798) is associated with this NPI, valid through October 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Nostalgic Eyecare Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Nostalgic Eyecare Inc 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 Nostalgic Eyecare Inc was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Nostalgic Eyecare Inc · NPI 1417300849
Health Service organization in Oreland, Pennsylvania. Organization record, active in the CMS NPPES registry since July 20, 2016.
## Identity
- **NPI:** 1417300849 (Entity type: Organization)
- **Enumerated:** July 20, 2016
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Kennard Herring, OWNER
## Practice location
- **Address:** 1319 BRUCE RD, APARTMENT B, Oreland, PA 19075-1819
- **Phone:** (718) 825-2067
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 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:** January 11, 2017
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1417300849) · Data from the CMS NPPES public registry.