CHARLEVOIX EYE CENTER, P.C.
NPI 1619315926
Optometrist in Charlevoix, MI
About Charlevoix Eye Center, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLEVOIX EYE CENTER, P.C. (NPI 1619315926) is a healthcare organization registered as an optometrist in Charlevoix, Michigan and active in the NPI registry since June 2013. The organization lists Jon Vanwagnen, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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)
Charlevoix Eye Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Charlevoix Eye Center, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Charlevoix Eye Center, P.C.'s NPI number?
The NPI number for Charlevoix Eye Center, P.C. is 1619315926. It was assigned to this organization in the NPPES registry on June 8, 2013.
Where is Charlevoix Eye Center, P.C. located?
Charlevoix Eye Center, P.C. is located at 1008 Bridge St, Charlevoix, MI 49720. The listed phone number is (231) 547-7800.
What is Charlevoix Eye Center, P.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Charlevoix Eye Center, P.C. enrolled in Medicare?
Yes. Charlevoix Eye Center, P.C. is registered in the Medicare PECOS enrollment system.
When is Charlevoix Eye Center, P.C.'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 (Michigan, Clinic/Group Practice) is due for revalidation by January 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 Charlevoix Eye Center, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Charlevoix Eye Center, P.C.. 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 Charlevoix Eye Center, P.C. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 5 other insurers list Charlevoix Eye Center, P.C. 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 Charlevoix Eye Center, P.C. was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Charlevoix Eye Center, P.c. · NPI 1619315926
Optometrist organization in Charlevoix, Michigan. Organization record, active in the CMS NPPES registry since June 8, 2013.
## Identity
- **NPI:** 1619315926 (Entity type: Organization)
- **Enumerated:** June 8, 2013
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jon Vanwagnen, OPTOMETRIST
## Practice location
- **Address:** 1008 BRIDGE ST, Charlevoix, MI 49720-1602
- **Phone:** (231) 547-7800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1619315926) · Data from the CMS NPPES public registry.