EYECARE EXCELLENCE A PROFESSIONAL CORPORATION
NPI 1437158375
Optometrist in Kodiak, AK
About Eyecare Excellence A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYECARE EXCELLENCE A PROFESSIONAL CORPORATION (NPI 1437158375) is a healthcare organization registered as an optometrist in Kodiak, Alaska and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Desiree Wheeler, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eyecare Excellence A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Eyecare Excellence A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 02D2038193
Eyecare Excellence PC · Kodiak, AKFrequently 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 Eyecare Excellence A Professional Corporation's NPI number?
The NPI number for Eyecare Excellence A Professional Corporation is 1437158375. It was assigned to this organization in the NPPES registry on July 20, 2005.
Where is Eyecare Excellence A Professional Corporation located?
Eyecare Excellence A Professional Corporation is located at 3450 E. Rezanof Dr., Kodiak, AK 99615. The listed phone number is (907) 486-5504.
What is Eyecare Excellence A Professional Corporation's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Eyecare Excellence A Professional Corporation enrolled in Medicare?
Yes. Eyecare Excellence A Professional Corporation is registered in the Medicare PECOS enrollment system.
When is Eyecare Excellence A Professional Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alaska, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Eyecare Excellence A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Eyecare Excellence A Professional Corporation. 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.
Does Eyecare Excellence A Professional Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 02D2038193) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Eyecare Excellence A Professional Corporation was last updated on January 13, 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.
# Eyecare Excellence A Professional Corporation · NPI 1437158375
Optometrist organization in Kodiak, Alaska. Organization record, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1437158375 (Entity type: Organization)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Desiree Wheeler, OWNER
## Practice location
- **Address:** 3450 E. REZANOF DR., Kodiak, AK 99615-0827
- **Phone:** (907) 486-5504 · **Fax:** (907) 486-6577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Alaska, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2021
- **Other identifiers:** Medicaid 1031738 (AK)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1437158375) · Data from the CMS NPPES public registry.