MADISON EYE CARE OF PORT CLINTON LLC
NPI 1427748243
Optometrist in Port Clinton, OH

Q: What is Madison Eye Care Of Port Clinton LLC's NPI number?

The NPI number for Madison Eye Care Of Port Clinton LLC is 1427748243. It was assigned to this organization in the NPPES registry on May 15, 2023. The provider is doing business as Madison Eye Care.

Q: What is Madison Eye Care Of Port Clinton LLC's specialty?

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

Active since May 15, 2023

820 JEFFERSON ST, PORT CLINTON, OH 43452(419) 732-2828 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Madison Eye Care Of Port Clinton Llc NPPES

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

MADISON EYE CARE OF PORT CLINTON LLC (NPI 1427748243), doing business as Madison Eye Care, is a healthcare organization registered as an optometrist in Port Clinton, Ohio and active in the NPI registry since May 2023. The organization lists Kyle Koubek, Doctor/part Owner, as its authorized official.

NPPES Registry Identity

NPI1427748243

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMADISON EYE CARE OF PORT CLINTON LLC

Location Address820 JEFFERSON STPort Clinton, OH 43452-2416

Mailing Address26927 Detroit RdWestlake, OH 44145-2370 · (440) 892-5367

Phone(419) 732-2828

Organization SubpartNo

Authorized OfficialKyle KoubekDoctor/part Owner · (440) 892-5367

Enumeration DateMay 15, 2023

NPPES CertifiedMay 13, 2023

✔ NPI 1427748243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

820 JEFFERSON ST, Port Clinton, OH 43452

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Other Names 1

Doing Business AsMadison Eye Care

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Madison Eye Care Of Port Clinton Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Madison Eye Care Of Port Clinton LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Sue Vandootingh, O.D.

Optometry

NPI 1366518045

820 JEFFERSON ST
Port Clinton, OH 43452

(419) 732-2828

✔ PECOSSame address

Wendy Hallier, O.D.

Optometry

NPI 1003868571

35901 CHESTER RD
Avon, OH 44011

(440) 937-4765

✔ PECOS✔ Accepts Medicare48 mi

Kyle Koubek, OD

Optometry

NPI 1629546668

26927 DETROIT RD
Westlake, OH 44145

(440) 892-5367

✔ PECOS✔ Accepts Medicare53 mi

Peter Mogyordy, O.D.

Optometry

NPI 1043203078

26927 DETROIT RD
Westlake, OH 44145

(440) 892-5367

✔ PECOS✔ Accepts Medicare53 mi

Norma Jesse, O.D.

Optometry

NPI 1982786604

6621 CENTER RD
Valley City, OH 44280

(330) 483-4035

✔ PECOS✔ Accepts Medicare56 mi

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 Madison Eye Care Of Port Clinton LLC's NPI number?

The NPI number for Madison Eye Care Of Port Clinton LLC is 1427748243. It was assigned to this organization in the NPPES registry on May 15, 2023. The provider is doing business as Madison Eye Care.

Where is Madison Eye Care Of Port Clinton LLC located?

Madison Eye Care Of Port Clinton LLC is located at 820 Jefferson St, Port Clinton, OH 43452. The listed phone number is (419) 732-2828.

What is Madison Eye Care Of Port Clinton LLC's specialty?

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

Is Madison Eye Care Of Port Clinton LLC enrolled in Medicare?

Yes. Madison Eye Care Of Port Clinton LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madison Eye Care Of Port Clinton LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Madison Eye Care Of Port Clinton 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Madison Eye Care Of Port Clinton LLC 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 Madison Eye Care Of Port Clinton 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 Madison Eye Care Of Port Clinton LLC was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.