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EYE SITE OPTICAL
NPI 1619203684
Eyewear Supplier in Mishawaka, IN

Active since October 27, 2009
5323 N MAIN ST, MISHAWAKA, IN 46545(574) 273-2727 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Eye Site Optical NPPES

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

EYE SITE OPTICAL (NPI 1619203684) is a healthcare organization registered as an eyewear supplier in Mishawaka, Indiana and active in the NPI registry since October 2009. The organization lists Kristina Swartz, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1619203684
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameEYE SITE INC
Location Address5323 N MAIN STMishawaka, IN 46545-9041
Mailing Address5323 N Main StMishawaka, IN 46545-9041
Phone(574) 273-2727
Organization SubpartNo
Authorized OfficialKristina SwartzOwner/optometrist · (574) 273-2727
Enumeration DateOctober 27, 2009
Last NPPES UpdateApril 27, 2010
✔ NPI 1619203684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
5323 N MAIN ST, Mishawaka, IN 46545
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Other Names 1

Doing Business AsEye Site Optical

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)

Eye Site Optical 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
StateIndianaEnrollment IDO20100524000423Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eye Site Optical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kristina Jordan, OD
Optometry
NPI 1477579316
5323 N MAIN ST.
Mishawaka, IN 46545
(574) 273-2727
✔ 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 Eye Site Inc's NPI number?

The NPI number for Eye Site Inc is 1619203684. It was assigned to this organization in the NPPES registry on October 27, 2009. The provider is doing business as Eye Site Optical.

Where is Eye Site Inc located?

Eye Site Inc is located at 5323 N Main St, Mishawaka, IN 46545. The listed phone number is (574) 273-2727.

What is Eye Site Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Eye Site Inc enrolled in Medicare?

Yes. Eye Site Inc is registered in the Medicare PECOS enrollment system.

When is Eye Site Inc'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 (Indiana, 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 Eye Site Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Eye Site Inc. 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.

When was this NPI record last updated?

The NPPES record for Eye Site Inc was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.