ROCK JUDISCH VISION CLINIC PC
NPI 1669521027
Optometrist in Lake City, IA
About Rock Judisch Vision Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROCK JUDISCH VISION CLINIC PC (NPI 1669521027) is a healthcare organization registered as an optometrist in Lake City, Iowa and active in the NPI registry since January 2007. The organization lists Jonathan Paul Judisch, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rock Judisch Vision Clinic 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 Rock Judisch Vision Clinic PC, 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.
Medical Equipment Supplier Medicare DMEPOS
Medicare supplier enrollment and the product categories Judisch Vision PC carries, from the Medicare DMEPOS supplier directory.
Judisch Vision PC
DMEPOS supplier · Lake City, IAAccepts Medicare assignment
Judisch Vision PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Judisch Vision PC's NPI number?
The NPI number for Judisch Vision PC is 1669521027. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Rock Judisch Vision Clinic PC.
Where is Judisch Vision PC located?
Judisch Vision PC is located at 1341 W Main St, Lake City, IA 51449. The listed phone number is (712) 464-3136.
What is Judisch Vision PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Judisch Vision PC enrolled in Medicare?
Yes. Judisch Vision PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Judisch Vision PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Judisch 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.
Does Judisch Vision PC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Judisch Vision PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
When was this NPI record last updated?
The NPPES record for Judisch Vision PC was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Rock Judisch Vision Clinic Pc · NPI 1669521027
Optometrist organization in Lake City, Iowa. Organization record, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1669521027 (Entity type: Organization)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Judisch Vision Pc
- **Organization subpart:** No
- **Authorized official:** Jonathan Judisch, PRESIDENT
## Practice location
- **Address:** 1341 W MAIN ST, Lake City, IA 51449-0124
- **Phone:** (712) 464-3136 · **Fax:** (712) 464-7683
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** January 10, 2024
- **Other identifiers:** Medicaid 0258194 (IA); Other DA3268; Other 25819
---
Source: [NPI Profile](https://npiprofile.com/npi/1669521027) · Data from the CMS NPPES public registry.