ADRIAN EYE CARE, LLC
NPI 1477680015
Optometrist in Adrian, MI

Active since February 28, 2007
580 RIVERSIDE AVE, ADRIAN, MI 49221(517) 265-6055(517) 265-6115 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2026, May 1, 2026, Apr 15, 2026 and 1 more (4 updates tracked since 2025).

About Adrian Eye Care, Llc NPPES

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

ADRIAN EYE CARE, LLC (NPI 1477680015), doing business as Adrian Eyecare And Optical, is a healthcare organization registered as an optometrist in Adrian, Michigan and active in the NPI registry since February 2007. The organization lists Penny Jackson, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1477680015
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameADRIAN EYE CARE, LLC
Location Address580 RIVERSIDE AVEAdrian, MI 49221-1543
Mailing Address580 Riverside AveAdrian, MI 49221-1543 · (517) 265-6055 · Fax (517) 265-6115
Fax(517) 265-6115
Organization SubpartNo
Authorized OfficialPenny JacksonCredentialing · (517) 202-1618
Enumeration DateFebruary 28, 2007
Last NPPES UpdateMay 8, 20264 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1477680015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MI · 4901002974 Licensed in MI · 4901004286
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.
580 RIVERSIDE AVE, Adrian, MI 49221

Other Names 1

Doing Business AsAdrian Eyecare And Optical

Other Identifiers 1

Other4639178-86MI · Medicaid Dispensing

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Adrian Eyecare And Optical carries, from the Medicare DMEPOS supplier directory.

Adrian Eyecare And Optical

DMEPOS supplier · Adrian, MIOperated by Paul W Lanczki PC

Accepts Medicare assignment

Adrian Eyecare And Optical agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20587691
Medicare Participant SinceJuly 1, 2004
Supplier Location580 Riverside AveAdrian, MI 49221
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
580 RIVERSIDE AVE
ADRIAN, MI 49221
Optometrist
580 RIVERSIDE AVE
ADRIAN, MI 49221
Optometrist
580 RIVERSIDE AVE
ADRIAN, MI 49221
Ophthalmology
580 RIVERSIDE AVE
ADRIAN, MI 49221
Optometrist
580 RIVERSIDE AVE
ADRIAN, MI 49221

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 Adrian Eye Care, LLC's NPI number?

The NPI number for Adrian Eye Care, LLC is 1477680015. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Adrian Eyecare And Optical.

Where is Adrian Eye Care, LLC located?

Adrian Eye Care, LLC is located at 580 Riverside Ave, Adrian, MI 49221. The listed phone number is (517) 265-6055.

What is Adrian Eye Care, LLC's specialty?

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

Does Adrian Eye Care, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Adrian Eyecare And Optical accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Adrian Eye Care, LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and BlueCross BlueShield of Tennessee list Adrian Eye Care, 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 Adrian Eye Care, LLC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.