VIDALIA EYECARE LLC
NPI 1568936151
Optometrist in Vidalia, GA

Q: What is Vidalia Eyecare LLC's NPI number?

The NPI number for Vidalia Eyecare LLC is 1568936151. It was assigned to this organization in the NPPES registry on January 16, 2019.

Q: What is Vidalia Eyecare LLC's specialty?

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

Active since January 16, 2019

206 MAPLE DR, VIDALIA, GA 30474(912) 537-2020 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Vidalia Eyecare Llc NPPES

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

VIDALIA EYECARE LLC (NPI 1568936151) is a healthcare organization registered as an optometrist in Vidalia, Georgia and active in the NPI registry since January 2019. The organization lists Doo Kang, Owner, as its authorized official.

NPPES Registry Identity

NPI1568936151

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameVIDALIA EYECARE LLC

Location Address206 MAPLE DRVidalia, GA 30474-8907

Mailing Address206 Maple DrVidalia, GA 30474-8907

Phone(912) 537-2020

Organization SubpartNo

Authorized OfficialDoo KangOwner · (912) 537-2020

Enumeration DateJanuary 16, 2019

✔ NPI 1568936151 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.

206 MAPLE DR, Vidalia, GA 30474

Open in Google Maps ↗

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)

Vidalia Eyecare 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 Vidalia Eyecare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Doo Kang, OD

Optometry

NPI 1902155393

206 MAPLE DR
Vidalia, GA 30474

(912) 537-2020

✔ PECOSSame 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 Vidalia Eyecare LLC's NPI number?

The NPI number for Vidalia Eyecare LLC is 1568936151. It was assigned to this organization in the NPPES registry on January 16, 2019.

Where is Vidalia Eyecare LLC located?

Vidalia Eyecare LLC is located at 206 Maple Dr, Vidalia, GA 30474. The listed phone number is (912) 537-2020.

What is Vidalia Eyecare LLC's specialty?

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

Is Vidalia Eyecare LLC enrolled in Medicare?

Yes. Vidalia Eyecare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vidalia Eyecare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Vidalia Eyecare 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 Vidalia Eyecare 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 Vidalia Eyecare 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 Vidalia Eyecare LLC was last updated on January 16, 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.