YAVAPAI ADVANCED VISION CENTER PLLC
NPI 1760796270
Optometrist in Prescott, AZ

Q: What is Yavapai Advanced Vision Center PLLC's NPI number?

The NPI number for Yavapai Advanced Vision Center PLLC is 1760796270. It was assigned to this organization in the NPPES registry on July 27, 2010.

Q: What is Yavapai Advanced Vision Center PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 27, 2010

1727 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 717-3259(928) 778-1023 Get Directions Write a Review

NPPES record last updated: May 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Yavapai Advanced Vision Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YAVAPAI ADVANCED VISION CENTER PLLC (NPI 1760796270) is a healthcare organization registered as an optometrist in Prescott, Arizona and active in the NPI registry since July 2010. The organization lists Monica R Stotler, Owner, as its authorized official.

NPPES Registry Identity

NPI1760796270

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameYAVAPAI ADVANCED VISION CENTER PLLC

Location Address1727 WILLOW CREEK RDPrescott, AZ 86301-1154

Mailing Address1727 Willow Creek RdPrescott, AZ 86301-1154 · (928) 717-3259 · Fax (928) 778-1023

Phone(928) 717-3259

Fax(928) 778-1023

Organization SubpartNo

Authorized OfficialMonica R StotlerOwner · (928) 717-3259

Enumeration DateJuly 27, 2010

Last NPPES UpdateMay 5, 2024

NPPES CertifiedMay 5, 2024

✔ NPI 1760796270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AZ · 1604

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1727 WILLOW CREEK RD, Prescott, AZ 86301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Yavapai Advanced Vision Center Pllc 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.

StateEnrollment IDDue date

StateArizonaEnrollment IDO20100810000777Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Yavapai Advanced Vision Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Monica Stotler, O.D.

Optometry

NPI 1144400599

1727 WILLOW CREEK RD
Prescott, AZ 86301

(928) 717-3259

✔ PECOS✔ Accepts MedicareSame address

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 Yavapai Advanced Vision Center PLLC's NPI number?

The NPI number for Yavapai Advanced Vision Center PLLC is 1760796270. It was assigned to this organization in the NPPES registry on July 27, 2010.

Where is Yavapai Advanced Vision Center PLLC located?

Yavapai Advanced Vision Center PLLC is located at 1727 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 717-3259.

What is Yavapai Advanced Vision Center PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Yavapai Advanced Vision Center PLLC enrolled in Medicare?

Yes. Yavapai Advanced Vision Center PLLC is registered in the Medicare PECOS enrollment system.

When is Yavapai Advanced Vision Center PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) 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 Yavapai Advanced Vision Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Yavapai Advanced Vision Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Yavapai Advanced Vision Center PLLC was last updated on May 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.