SOUTHERN INDIANA EYE CARE, LLC
NPI 1720475965
Optometrist in Paoli, IN
About Southern Indiana Eye Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN INDIANA EYE CARE, LLC (NPI 1720475965) is a healthcare organization registered as an optometrist in Paoli, Indiana and active in the NPI registry since April 2015. The organization lists Robert D Cole, Optometrist, 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)
Southern Indiana Eye Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Indiana Eye Care, 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)
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 Southern Indiana Eye Care, LLC's NPI number?
The NPI number for Southern Indiana Eye Care, LLC is 1720475965. It was assigned to this organization in the NPPES registry on April 24, 2015.
Where is Southern Indiana Eye Care, LLC located?
Southern Indiana Eye Care, LLC is located at 488 W Hospital Rd, Paoli, IN 47454. The listed phone number is (812) 723-4752.
What is Southern Indiana Eye Care, LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Southern Indiana Eye Care, LLC enrolled in Medicare?
Yes. Southern Indiana Eye Care, LLC is registered in the Medicare PECOS enrollment system.
When is Southern Indiana Eye Care, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Indiana, Physician - Optometrist) is due for revalidation by October 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 Southern Indiana Eye Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Southern Indiana Eye Care, 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 Southern Indiana Eye Care, LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Southern Indiana Eye Care, 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 Southern Indiana Eye Care, LLC was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Southern Indiana Eye Care, Llc · NPI 1720475965
Optometrist organization in Paoli, Indiana. Organization record, active in the CMS NPPES registry since April 24, 2015.
## Identity
- **NPI:** 1720475965 (Entity type: Organization)
- **Enumerated:** April 24, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Robert Cole, OPTOMETRIST
## Practice location
- **Address:** 488 W HOSPITAL RD, Paoli, IN 47454-8807
- **Phone:** (812) 723-4752 · **Fax:** (812) 723-4753
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Indiana, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2015
- **Other identifiers:** Medicare PIN 177080 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1720475965) · Data from the CMS NPPES public registry.