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RADIANT EYES LLC
NPI 1679316996
Optometrist in Sussex, WI

Active since June 14, 2024
W248N5233 EXECUTIVE DR UNIT 200, SUSSEX, WI 53089(262) 304-0080(262) 304-0081 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2024, Jun 14, 2024 (2 updates tracked since 2024).

About Radiant Eyes Llc NPPES

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

RADIANT EYES LLC (NPI 1679316996) is a healthcare organization registered as an optometrist in Sussex, Wisconsin and active in the NPI registry since June 2024. The organization lists Nicole Shirley Avgoulas, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1679316996
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameRADIANT EYES LLC
Location AddressW248N5233 EXECUTIVE DR UNIT 200Sussex, WI 53089-4318
Mailing Address197 S Golden Vista CtOconomowoc, WI 53066-8635 · (262) 490-0275
Phone(262) 304-0080
Fax(262) 304-0081
Organization SubpartNo
Authorized OfficialNicole Shirley AvgoulasOptometrist · (262) 490-0275
Enumeration DateJune 14, 2024
Last NPPES UpdateJuly 13, 20242 updates tracked since enumeration
NPPES CertifiedJuly 13, 2024
✔ NPI 1679316996 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.
W248N5233 EXECUTIVE DR UNIT 200, Sussex, WI 53089
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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)

Radiant Eyes Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Radiant Eyes LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Noel Arackal, OD
Optometry
NPI 1477179349
W248N5233 EXECUTIVE DR UNIT 200
Sussex, WI 53089
(262) 304-0080
✔ PECOS✔ Accepts MedicareSame address
Nicole Avgoulas, OD
Optometry
NPI 1831714120
W248N5233 EXECUTIVE DR UNIT 200
Sussex, WI 53089
(262) 304-0080
✔ 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 Radiant Eyes LLC's NPI number?

The NPI number for Radiant Eyes LLC is 1679316996. It was assigned to this organization in the NPPES registry on June 14, 2024.

Where is Radiant Eyes LLC located?

Radiant Eyes LLC is located at W248n5233 Executive Dr Unit 200, Sussex, WI 53089. The listed phone number is (262) 304-0080.

What is Radiant Eyes LLC's specialty?

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

Is Radiant Eyes LLC enrolled in Medicare?

Yes. Radiant Eyes LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiant Eyes LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Radiant Eyes 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Radiant Eyes 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 Radiant Eyes 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 Radiant Eyes LLC was last updated on July 13, 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.