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MR. DAVID W WOLOSIN ABOC, NCLC
NPI 1497340947
Technician/Technologist - Optician in Henderson, NV

Active since March 06, 2021PECOS Enrolled
175 N STEPHANIE ST STE 130, HENDERSON, NV 89074(702) 564-3678(702) 564-7552 Get Directions Write a Review

NPPES record last updated: March 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. David W Wolosin Aboc, Nclc NPPES

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

MR. DAVID W WOLOSIN ABOC, NCLC (NPI 1497340947) is an individual optician in Henderson, Nevada and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497340947
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameMR. DAVID W WOLOSINCredential: ABOC, NCLC
Location Address175 N STEPHANIE ST STE 130Henderson, NV 89074-8996
Mailing Address175 N Stephanie St Ste 130Henderson, NV 89074-8996 · (702) 564-3678 · Fax (702) 564-7552
Phone(702) 564-3678
Fax(702) 564-7552
Sole ProprietorYes
Enumeration DateMarch 6, 2021
NPPES CertifiedMarch 6, 2021
✔ NPI 1497340947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
175 N STEPHANIE ST STE 130, Henderson, NV 89074
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David W Wolosin Aboc, Nclc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Wolosin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Custom Eyes, LLC
Same address
Eyewear Supplier
175 N STEPHANIE ST, SUITE 130
Henderson, NV 89074
  • Reassigned Medicare billing, Nevada enrollment
NPI 1386820421 (702) 564-3678

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

HENDERSON FAMILY EYECARE
Optometrist
175 N STEPHANIE ST STE 130
HENDERSON, NV 89074
Clark County (801) 368-6498

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 David Wolosin's NPI number?

The NPI number for David Wolosin is 1497340947. It was assigned to this individual provider in the NPPES registry on March 6, 2021.

Where is David Wolosin located?

David Wolosin practices at 175 N Stephanie St Ste 130, Henderson, NV 89074. The listed phone number is (702) 564-3678.

What is David Wolosin's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Is David Wolosin enrolled in Medicare?

Yes. David Wolosin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Wolosin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Wolosin reassigns Medicare benefits to Custom Eyes, LLC (Henderson, NV). The 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 David Wolosin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Wolosin was last updated on March 6, 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.