KEN MIA VISION LLC
NPI 1487298774
Optometrist in Midlothian, IL

Q: What is Ken Mia Vision LLC's NPI number?

The NPI number for Ken Mia Vision LLC is 1487298774. It was assigned to this organization in the NPPES registry on October 30, 2019. The provider is doing business as Pearle Vision.

Q: What is Ken Mia Vision LLC's specialty?

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

Active since October 30, 2019

14702 CICERO AVE, MIDLOTHIAN, IL 60445(708) 687-2115 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ken Mia Vision Llc NPPES

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

KEN MIA VISION LLC (NPI 1487298774), doing business as Pearle Vision, is a healthcare organization registered as an optometrist in Midlothian, Illinois and active in the NPI registry since October 2019. The organization lists Hector Garcia, President, as its authorized official.

NPPES Registry Identity

NPI1487298774

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKEN MIA VISION LLC

Location Address14702 CICERO AVEMidlothian, IL 60445-3173

Mailing Address14702 Cicero AveMidlothian, IL 60445-3173 · (708) 687-2115

Phone(708) 687-2115

Organization SubpartNo

Authorized OfficialHector GarciaPresident · (708) 802-1553

Enumeration DateOctober 30, 2019

✔ NPI 1487298774 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.

14702 CICERO AVE, Midlothian, IL 60445

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Other Names 1

Doing Business AsPearle Vision

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)

Ken Mia Vision Llc 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 Ken Mia Vision LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dayra Macias, O.D

Optometry

NPI 1679350375

14702 CICERO AVE
Midlothian, IL 60445

(608) 687-2115

✔ 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 Ken Mia Vision LLC's NPI number?

The NPI number for Ken Mia Vision LLC is 1487298774. It was assigned to this organization in the NPPES registry on October 30, 2019. The provider is doing business as Pearle Vision.

Where is Ken Mia Vision LLC located?

Ken Mia Vision LLC is located at 14702 Cicero Ave, Midlothian, IL 60445. The listed phone number is (708) 687-2115.

What is Ken Mia Vision LLC's specialty?

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

Is Ken Mia Vision LLC enrolled in Medicare?

Yes. Ken Mia Vision LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ken Mia Vision LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Ken Mia Vision 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ken Mia Vision 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 Ken Mia Vision 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 Ken Mia Vision LLC was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.