BRIGHT EYES VISION CLINIC, PA
NPI 1720113947
Optometrist in Otsego, MN
About Bright Eyes Vision Clinic, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIGHT EYES VISION CLINIC, PA (NPI 1720113947) is a healthcare organization registered as an optometrist in Otsego, Minnesota and active in the NPI registry since February 2007. The organization lists Jill Ak Hadler, Ceo And President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Bright Eyes Vision Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Bright Eyes Vision Clinic, PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Bright Eyes Vision Clinic, PA's NPI number?
The NPI number for Bright Eyes Vision Clinic, PA is 1720113947. It was assigned to this organization in the NPPES registry on February 21, 2007.
Where is Bright Eyes Vision Clinic, PA located?
Bright Eyes Vision Clinic, PA is located at 9125 Quaday Ave NE Suite 104, Otsego, MN 55330. The listed phone number is (763) 241-1090.
What is Bright Eyes Vision Clinic, PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Bright Eyes Vision Clinic, PA enrolled in Medicare?
Yes. Bright Eyes Vision Clinic, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bright Eyes Vision Clinic, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Bright Eyes Vision Clinic, PA. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bright Eyes Vision Clinic, PA was last updated on August 22, 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.
# Bright Eyes Vision Clinic, Pa · NPI 1720113947
Optometrist organization in Otsego, Minnesota. Organization record, active in the CMS NPPES registry since February 21, 2007.
## Identity
- **NPI:** 1720113947 (Entity type: Organization)
- **Enumerated:** February 21, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jill Hadler, CEO AND PRESIDENT
## Practice location
- **Address:** 9125 QUADAY AVE NE, SUITE 104, Otsego, MN 55330-6651
- **Phone:** (763) 241-1090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1720113947) · Data from the CMS NPPES public registry.