KERRVILLE EYE CENTER PA
NPI 1508920570
Specialist in Kerrville, TX

Active since December 21, 2006CLIA 45D2124732 · Waiver
1001 WATER ST, STE E100, KERRVILLE, TX 78028(830) 257-4417(830) 257-1480 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kerrville Eye Center Pa NPPES

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

KERRVILLE EYE CENTER PA (NPI 1508920570) is a healthcare organization registered as a specialist in Kerrville, Texas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Rhonda Cravey, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1508920570
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKERRVILLE EYE CENTER PA
Location Address1001 WATER ST, STE E100Kerrville, TX 78028-3523
Mailing AddressPo Box 294869Kerrville, TX 78029-4869 · (830) 257-4417 · Fax (830) 257-1480
Fax(830) 257-1480
Organization SubpartNo
Authorized OfficialRhonda CraveyBusiness Manager · (830) 257-4417
Enumeration DateDecember 21, 2006
Last NPPES UpdateMarch 18, 2011
✔ NPI 1508920570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · J6394
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1001 WATER ST, Kerrville, TX 78028

Other Identifiers 3

Other0010GHTX · Bcbs Group #
Medicare ID-Type Unspecified00065STX · Medicare Group #
Medicaid143576001TX

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

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)

Kerrville Eye Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20040605000277Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kerrville Eye Center PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1205990207
1001 WATER ST STE. E100
Kerrville, TX 78028
(830) 257-4417
✔ PECOS✔ Accepts Medicare0.1 mi
Pain Management
NPI 1801152079
1901 MEDI PARK DR STE 2
Amarillo, TX 79106
(806) 350-7918
✔ PECOS✔ Accepts Medicare390 mi

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 45D2124732

Kerrville Eye Center PA · Kerrville, TX
Active · expires Jan 23, 2027
CLIA Number45D2124732
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorRussell Cravey
Laboratory Phone(830) 257-4417
Laboratory LocationKerrville Eye Center PA1001 Water Street, Ste E100, Kerrville, TX 78028
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kerrville Eye Center PA's NPI number?

The NPI number for Kerrville Eye Center PA is 1508920570. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Kerrville Eye Center PA located?

Kerrville Eye Center PA is located at 1001 Water St Ste E100, Kerrville, TX 78028. The listed phone number is (830) 257-4417.

What is Kerrville Eye Center PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kerrville Eye Center PA enrolled in Medicare?

Yes. Kerrville Eye Center PA is registered in the Medicare PECOS enrollment system.

When is Kerrville Eye Center PA'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 (Texas, Clinic/Group Practice) is due for revalidation by March 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 Kerrville Eye Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kerrville Eye Center PA, in Ophthalmology and Pain Management. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kerrville Eye Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2124732) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kerrville Eye Center PA was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.