GILLETTE OPTOMETRIC CLINIC PC
NPI 1891850707
Optometrist - Corneal and Contact Management in Gillette, WY
About Gillette Optometric Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GILLETTE OPTOMETRIC CLINIC PC (NPI 1891850707) is a healthcare organization registered as a corneal and contact management in Gillette, Wyoming and active in the NPI registry since December 2006. The organization lists Roger L Jordan, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 17
Group Practice 1
Accepted Insurance
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)
Gillette Optometric Clinic Pc 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.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Gillette Optometric Clinic PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Gillette Optometric Clinic PC carries, from the Medicare DMEPOS supplier directory.
Gillette Optometric Clinic PC
DMEPOS supplier · Gillette, WYAccepts Medicare assignment
Gillette Optometric Clinic PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Gillette Optometric Clinic PC's NPI number?
The NPI number for Gillette Optometric Clinic PC is 1891850707. It was assigned to this organization in the NPPES registry on December 22, 2006.
Where is Gillette Optometric Clinic PC located?
Gillette Optometric Clinic PC is located at 609 4J Ct, Gillette, WY 82716. The listed phone number is (307) 682-2020.
What is Gillette Optometric Clinic PC's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.
Is Gillette Optometric Clinic PC enrolled in Medicare?
Yes. Gillette Optometric Clinic PC is registered in the Medicare PECOS enrollment system.
When is Gillette Optometric Clinic PC'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 (Wyoming, 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 Gillette Optometric Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Gillette Optometric Clinic PC. 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, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gillette Optometric Clinic PC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Gillette Optometric Clinic PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Gillette Optometric Clinic PC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Gillette Optometric Clinic PC 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 Gillette Optometric Clinic PC was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Gillette Optometric Clinic Pc · NPI 1891850707
Corneal and Contact Management organization in Gillette, Wyoming. Organization record, active in the CMS NPPES registry since December 22, 2006.
## Identity
- **NPI:** 1891850707 (Entity type: Organization)
- **Enumerated:** December 22, 2006
- **Primary specialty:** Optometrist - Corneal and Contact Management · taxonomy 152WC0802X
- **Organization subpart:** No
- **Authorized official:** Roger Jordan, PRESIDENT
## Practice location
- **Address:** 609 4J CT, Gillette, WY 82716-4135
- **Phone:** (307) 682-2020 · **Fax:** (307) 682-5656
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Wyoming, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2010
- **Other identifiers:** Medicare UPIN U11330 (WY); Medicaid 103952100 (WY); Other 1265466320 (WY); and 14 more
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Source: [NPI Profile](https://npiprofile.com/npi/1891850707) · Data from the CMS NPPES public registry.