WICHITA FAMILY VISION CLINIC, P.A.
NPI 1700978244
Optometrist in Wichita, KS
About Wichita Family Vision Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WICHITA FAMILY VISION CLINIC, P.A. (NPI 1700978244) is a healthcare organization registered as an optometrist in Wichita, Kansas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Robert C Nelson, Owner, 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)
Wichita Family Vision Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Wichita Family Vision Clinic, P.A., which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 17D2065327
Wichita Family Vision Clinic · Wichita, KSFrequently 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 Wichita Family Vision Clinic, P.A.'s NPI number?
The NPI number for Wichita Family Vision Clinic, P.A. is 1700978244. It was assigned to this organization in the NPPES registry on September 29, 2006.
Where is Wichita Family Vision Clinic, P.A. located?
Wichita Family Vision Clinic, P.A. is located at 437 N. Tyler, Wichita, KS 67212. The listed phone number is (316) 722-1001.
What is Wichita Family Vision Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Wichita Family Vision Clinic, P.A. enrolled in Medicare?
Yes. Wichita Family Vision Clinic, P.A. is registered in the Medicare PECOS enrollment system.
When is Wichita Family Vision Clinic, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Kansas, Physician - Optometrist) is due for revalidation by March 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 Wichita Family Vision Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Optometry, reassign their Medicare billing to Wichita Family Vision Clinic, P.A.. 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, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wichita Family Vision Clinic, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D2065327) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wichita Family Vision Clinic, P.A. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Wichita Family Vision Clinic, P.A. 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 Wichita Family Vision Clinic, P.A. was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Wichita Family Vision Clinic, P.a. · NPI 1700978244
Optometrist organization in Wichita, Kansas. Organization record, active in the CMS NPPES registry since September 29, 2006.
## Identity
- **NPI:** 1700978244 (Entity type: Organization)
- **Enumerated:** September 29, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Robert Nelson, OWNER
## Practice location
- **Address:** 437 N. TYLER, Wichita, KS 67212
- **Phone:** (316) 722-1001 · **Fax:** (316) 722-1073
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (DME, Kansas, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2020
- **Other identifiers:** Other 017146 (KS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700978244) · Data from the CMS NPPES public registry.