BOERNE VISION CENTER PA
NPI 1609149731
Optometrist in Boerne, TX
About Boerne Vision Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOERNE VISION CENTER PA (NPI 1609149731) is a healthcare organization registered as an optometrist in Boerne, Texas and active in the NPI registry since February 2012. The organization lists Susan Ly Johnson, Owner/authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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)
Boerne Vision Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Boerne Vision 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 (3)
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 Boerne Vision Center PA's NPI number?
The NPI number for Boerne Vision Center PA is 1609149731. It was assigned to this organization in the NPPES registry on February 21, 2012.
Where is Boerne Vision Center PA located?
Boerne Vision Center PA is located at 124 E Bandera Rd Suite 403, Boerne, TX 78006. The listed phone number is (830) 331-8745.
What is Boerne Vision Center PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Boerne Vision Center PA enrolled in Medicare?
Yes. Boerne Vision Center PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boerne Vision Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Boerne Vision Center PA. 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.
What insurance does Boerne Vision Center PA accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Boerne Vision Center PA 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 Boerne Vision Center PA was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Boerne Vision Center Pa · NPI 1609149731
Optometrist organization in Boerne, Texas. Organization record, active in the CMS NPPES registry since February 21, 2012.
## Identity
- **NPI:** 1609149731 (Entity type: Organization)
- **Enumerated:** February 21, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Susan Johnson, OWNER/AUTHORIZED OFFICIAL
## Practice location
- **Address:** 124 E BANDERA RD, SUITE 403, Boerne, TX 78006-2849
- **Phone:** (830) 331-8745 · **Fax:** (830) 331-8749
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2019
- **Other identifiers:** Medicaid 376409401 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1609149731) · Data from the CMS NPPES public registry.