PROFESSIONAL EYECARE CENTERS, PLLC
NPI 1699866244
Optometrist in Jamestown, ND
About Professional Eyecare Centers, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL EYECARE CENTERS, PLLC (NPI 1699866244) is a healthcare organization registered as an optometrist in Jamestown, North Dakota and active in the NPI registry since September 2006. The organization lists Staci Jo Rudolph, Accounts Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Professional Eyecare Centers, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Professional Eyecare Centers, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 2
Medicare supplier enrollment and the product categories Professional Eyecare Centers PLLC carries, from the Medicare DMEPOS supplier directory.
Professional Eyecare Centers PLLC
DMEPOS supplier · Jamestown, NDAccepts Medicare assignment
Professional Eyecare Centers PLLC 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 Professional Eyecare Centers, PLLC's NPI number?
The NPI number for Professional Eyecare Centers, PLLC is 1699866244. It was assigned to this organization in the NPPES registry on September 27, 2006.
Where is Professional Eyecare Centers, PLLC located?
Professional Eyecare Centers, PLLC is located at 210 10th St SE, Jamestown, ND 58401. The listed phone number is (701) 252-5000.
What is Professional Eyecare Centers, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Professional Eyecare Centers, PLLC enrolled in Medicare?
Yes. Professional Eyecare Centers, PLLC is registered in the Medicare PECOS enrollment system.
When is Professional Eyecare Centers, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (North Dakota, Physician - Optometrist) is due for revalidation by December 31, 2026. 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 Professional Eyecare Centers, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Professional Eyecare Centers, PLLC. 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 and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Professional Eyecare Centers, PLLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Professional Eyecare Centers PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Professional Eyecare Centers, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Professional Eyecare Centers, PLLC 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 Professional Eyecare Centers, PLLC was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Professional Eyecare Centers, Pllc · NPI 1699866244
Optometrist organization in Jamestown, North Dakota. Organization record, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1699866244 (Entity type: Organization)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Staci Rudolph, ACCOUNTS SPECIALIST
## Practice location
- **Address:** 210 10TH ST SE, Jamestown, ND 58401-5553
- **Phone:** (701) 252-5000 · **Fax:** (701) 952-5005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, North Dakota, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2021
- **Other identifiers:** Medicaid 60490 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1699866244) · Data from the CMS NPPES public registry.