LAVI VISION PC
NPI 1558636613
Optometrist in Grand Prairie, TX

Q: What is Lavi Vision PC's NPI number?

The NPI number for Lavi Vision PC is 1558636613. It was assigned to this organization in the NPPES registry on March 21, 2012.

Q: What is Lavi Vision PC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lavi Vision PC was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 21, 2012

2325 W INTERSTATE 20, GRAND PRAIRIE, TX 75052(510) 300-5810 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lavi Vision Pc NPPES

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

LAVI VISION PC (NPI 1558636613) is a healthcare organization registered as an optometrist in Grand Prairie, Texas and active in the NPI registry since March 2012. The organization lists Julia N Ta, Optometrist/president, as its authorized official.

NPPES Registry Identity

NPI1558636613

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameLAVI VISION PC

Location Address2325 W INTERSTATE 20Grand Prairie, TX 75052-3927

Mailing Address2934 Pegasus CtGrand Prairie, TX 75052-8042 · (510) 300-5810

Phone(510) 300-5810

Organization SubpartNo

Authorized OfficialJulia N TaOptometrist/president · (510) 300-5800

Enumeration DateMarch 21, 2012

✔ NPI 1558636613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 7696TG

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.

2325 W INTERSTATE 20, Grand Prairie, TX 75052

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Other Identifiers 2

OtherTXB141982TX · Medicare Ptan

Medicaid2871717TX

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 Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Insurance Company.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)

Lavi Vision Pc 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 Lavi Vision PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Julia Ta, O.D.

Optometry

NPI 1497808976

2325 W INTERSTATE 20
Grand Prairie, TX 75052

(925) 945-8300

✔ 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 Lavi Vision PC's NPI number?

The NPI number for Lavi Vision PC is 1558636613. It was assigned to this organization in the NPPES registry on March 21, 2012.

Where is Lavi Vision PC located?

Lavi Vision PC is located at 2325 W Interstate 20, Grand Prairie, TX 75052. The listed phone number is (510) 300-5810.

What is Lavi Vision PC's specialty?

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

Is Lavi Vision PC enrolled in Medicare?

Yes. Lavi Vision PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lavi Vision PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Lavi Vision PC. 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 Lavi Vision PC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Insurance Company list Lavi Vision PC 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 Lavi Vision PC was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.