PEWAUKEE VISION SC
NPI 1780053595
Optometrist in Waukesha, WI
About Pewaukee Vision Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEWAUKEE VISION SC (NPI 1780053595) is a healthcare organization registered as an optometrist in Waukesha, Wisconsin and active in the NPI registry since September 2015. The organization maintains a secondary practice location in Pewaukee and lists Elyse Bruns, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
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)
Pewaukee Vision Sc 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 Pewaukee Vision Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 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 Pewaukee Vision Sc's NPI number?
The NPI number for Pewaukee Vision Sc is 1780053595. It was assigned to this organization in the NPPES registry on September 22, 2015.
Where is Pewaukee Vision Sc located?
Pewaukee Vision Sc is located at 1111 Delafield St Ste 212, Waukesha, WI 53188. The listed phone number is (262) 521-9383.
What is Pewaukee Vision Sc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Pewaukee Vision Sc enrolled in Medicare?
Yes. Pewaukee Vision Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pewaukee Vision Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Pewaukee Vision Sc. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pewaukee Vision Sc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 3 other insurers list Pewaukee Vision Sc 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 Pewaukee Vision Sc was last updated on April 25, 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.
# Pewaukee Vision Sc · NPI 1780053595
Optometrist organization in Waukesha, Wisconsin. Organization record, active in the CMS NPPES registry since September 22, 2015.
## Identity
- **NPI:** 1780053595 (Entity type: Organization)
- **Enumerated:** September 22, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Elyse Bruns, CO-OWNER
## Practice location
- **Address:** 1111 DELAFIELD ST STE 212, Waukesha, WI 53188-3403
- **Phone:** (262) 521-9383 · **Fax:** (262) 547-1815
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1780053595) · Data from the CMS NPPES public registry.