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REVOLUTION-EYES LLC
NPI 1689904864
Optometrist - Corneal and Contact Management in Moses Lake, WA

Active since January 11, 2010
215 E BROADWAY AVE, MOSES LAKE, WA 98837(509) 771-9342(509) 765-0204 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Revolution-eyes Llc NPPES

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

REVOLUTION-EYES LLC (NPI 1689904864) is a healthcare organization registered as a corneal and contact management in Moses Lake, Washington and active in the NPI registry since January 2010. The organization lists Kevin Douglas Osborne, Owner, as its authorized official.

NPPES Registry Identity

NPI1689904864
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameREVOLUTION-EYES LLC
Location Address215 E BROADWAY AVEMoses Lake, WA 98837-1717
Mailing Address215 E Broadway AveMoses Lake, WA 98837-1717 · (509) 771-9342 · Fax (509) 765-0204
Phone(509) 771-9342
Fax(509) 765-0204
Organization SubpartNo
Authorized OfficialKevin Douglas OsborneOwner · (509) 771-9342
Enumeration DateJanuary 11, 2010
✔ NPI 1689904864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in WA · 602967641
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
215 E BROADWAY AVE, Moses Lake, WA 98837
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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 Premera Blue Cross Blue Shield of Alaska.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)

Revolution-eyes Llc 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 Revolution-Eyes LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Osborne, OD
Optometry
NPI 1174656870
215 E BROADWAY AVE
Moses Lake, WA 98837
(509) 764-7338
✔ PECOS✔ Accepts Medicare0.2 mi

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 Revolution-Eyes LLC's NPI number?

The NPI number for Revolution-Eyes LLC is 1689904864. It was assigned to this organization in the NPPES registry on January 11, 2010.

Where is Revolution-Eyes LLC located?

Revolution-Eyes LLC is located at 215 E Broadway Ave, Moses Lake, WA 98837. The listed phone number is (509) 771-9342.

What is Revolution-Eyes LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Revolution-Eyes LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Revolution-Eyes LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Revolution-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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revolution-Eyes LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Revolution-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 Revolution-Eyes LLC was last updated on January 11, 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.