VISON SOURCE OF BOWLING GREEN
NPI 1841331691
Optometrist in Bowling Green, KY
About Vison Source Of Bowling Green NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISON SOURCE OF BOWLING GREEN (NPI 1841331691) is a healthcare organization registered as an optometrist in Bowling Green, Kentucky and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists John N. Breiwa, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 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)
Vison Source Of Bowling Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Vison Source Of Bowling Green, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 18D2065140
Vision Source Of Bowling Green · Bowling Green, KYFrequently 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 Breiwa Ware & Jeskie Psc's NPI number?
The NPI number for Breiwa Ware & Jeskie Psc is 1841331691. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Vison Source Of Bowling Green.
Where is Breiwa Ware & Jeskie Psc located?
Breiwa Ware & Jeskie Psc is located at 335 New Towne Rd, Bowling Green, KY 42103. The listed phone number is (270) 842-0383.
What is Breiwa Ware & Jeskie Psc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Breiwa Ware & Jeskie Psc enrolled in Medicare?
Yes. Breiwa Ware & Jeskie Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Breiwa Ware & Jeskie Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Breiwa Ware & Jeskie Psc. 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 Breiwa Ware & Jeskie Psc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2065140) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Breiwa Ware & Jeskie Psc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Breiwa Ware & Jeskie Psc 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 Breiwa Ware & Jeskie Psc was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Vison Source Of Bowling Green · NPI 1841331691
Optometrist organization in Bowling Green, Kentucky. Organization record, active in the CMS NPPES registry since February 12, 2007.
## Identity
- **NPI:** 1841331691 (Entity type: Organization)
- **Enumerated:** February 12, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Breiwa Ware & Jeskie Psc
- **Organization subpart:** No
- **Authorized official:** John Breiwa, PRESIDENT
## Practice location
- **Address:** 335 NEW TOWNE RD, Bowling Green, KY 42103-7966
- **Phone:** (270) 842-0383 · **Fax:** (270) 842-0485
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 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 21, 2018
- **Other identifiers:** Other 06622 (KY); Medicaid 7100253310 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1841331691) · Data from the CMS NPPES public registry.