ENVISION EYE CARE AND EYEWEAR GALLERY
NPI 1811280076
Optometrist in Fort Wayne, IN

Q: What is Envision Eye Care LLC's NPI number?

The NPI number for Envision Eye Care LLC is 1811280076. It was assigned to this organization in the NPPES registry on May 20, 2011. The provider is doing business as Envision Eye Care And Eyewear Gallery.

Q: What is Envision Eye Care LLC's specialty?

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

Active since May 20, 2011

14413 ILLINOIS RD, STE. C, FORT WAYNE, IN 46814(260) 616-0184(855) 271-9517 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Envision Eye Care And Eyewear Gallery NPPES

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

ENVISION EYE CARE AND EYEWEAR GALLERY (NPI 1811280076) is a healthcare organization registered as an optometrist in Fort Wayne, Indiana and active in the NPI registry since May 2011. The organization lists Christina Mummert, Member/president, as its authorized official.

NPPES Registry Identity

NPI1811280076

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameENVISION EYE CARE LLC

Location Address14413 ILLINOIS RD, STE. CFort Wayne, IN 46814-9714

Mailing Address14413 Illinois Rd, Ste. CFort Wayne, IN 46814-9714 · (260) 616-0184 · Fax (855) 271-9517

Phone(260) 616-0184

Fax(855) 271-9517

Organization SubpartNo

Authorized OfficialChristina MummertMember/president · (260) 616-0184

Enumeration DateMay 20, 2011

Last NPPES UpdateDecember 2, 2013

✔ NPI 1811280076 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 IN · 18003334

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.

14413 ILLINOIS RD, Fort Wayne, IN 46814

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Other Names 1

Doing Business AsEnvision Eye Care And Eyewear Gallery

Other Identifiers 2

Medicare UPINU82336IN

Medicare NSC6713550001IN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Envision Eye Care And Eyewear Gallery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Envision Eye Care And Eyewear Gallery, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Christina Mummert, O.D.

Optometry

NPI 1821086380

14413 ILLINOIS RD SUITE C
Fort Wayne, IN 46814

(260) 616-0184

✔ PECOS✔ Accepts MedicareSame address

Mackayla Sadilek, OD

Optometry

NPI 1720820004

14413 ILLINOIS RD
Fort Wayne, IN 46814

(260) 616-0184

✔ 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 Envision Eye Care LLC's NPI number?

The NPI number for Envision Eye Care LLC is 1811280076. It was assigned to this organization in the NPPES registry on May 20, 2011. The provider is doing business as Envision Eye Care And Eyewear Gallery.

Where is Envision Eye Care LLC located?

Envision Eye Care LLC is located at 14413 Illinois Rd Ste. C, Fort Wayne, IN 46814. The listed phone number is (260) 616-0184.

What is Envision Eye Care LLC's specialty?

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

Is Envision Eye Care LLC enrolled in Medicare?

Yes. Envision Eye Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Envision Eye Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Envision 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 Envision Eye Care LLC 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 list Envision 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 Envision Eye Care LLC was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.