BUENA VISTA OPTICAL, P.C.
NPI 1740464296
Clinic/Center in Chicago, IL
About Buena Vista Optical, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUENA VISTA OPTICAL, P.C. (NPI 1740464296) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Todd Sims, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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)
Buena Vista Optical, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Buena Vista Optical, P.C., which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 14D2064975
Buena Vista Optical P C · Chicago, ILFrequently 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 Buena Vista Optical, P.C.'s NPI number?
The NPI number for Buena Vista Optical, P.C. is 1740464296. It was assigned to this organization in the NPPES registry on December 19, 2007.
Where is Buena Vista Optical, P.C. located?
Buena Vista Optical, P.C. is located at 6455 S Kedzie Ave, Chicago, IL 60629. The listed phone number is (773) 863-9234.
What is Buena Vista Optical, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Buena Vista Optical, P.C. enrolled in Medicare?
Yes. Buena Vista Optical, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Buena Vista Optical, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Buena Vista Optical, P.C.. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Buena Vista Optical, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2064975) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Buena Vista Optical, P.C. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Buena Vista Optical, P.C. 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 Buena Vista Optical, P.C. was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Buena Vista Optical, P.c. · NPI 1740464296
Clinic/Center organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since December 19, 2007.
## Identity
- **NPI:** 1740464296 (Entity type: Organization)
- **Enumerated:** December 19, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Todd Sims, PRESIDENT
## Practice location
- **Address:** 6455 S KEDZIE AVE, Chicago, IL 60629-2829
- **Phone:** (773) 863-9234 · **Fax:** (773) 863-9274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740464296) · Data from the CMS NPPES public registry.