LANDER VISION SOURCE PC
NPI 1902587751
Optometrist in Lander, WY
About Lander Vision Source Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LANDER VISION SOURCE PC (NPI 1902587751) is a healthcare organization registered as an optometrist in Lander, Wyoming and active in the NPI registry since July 2023. The organization lists Kortny C Lancaster, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Lander Vision Source Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lander Vision Source PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lander Vision Source PC's NPI number?
The NPI number for Lander Vision Source PC is 1902587751. It was assigned to this organization in the NPPES registry on July 25, 2023.
Where is Lander Vision Source PC located?
Lander Vision Source PC is located at 556 Main St, Lander, WY 82520. The listed phone number is (307) 332-2020.
What is Lander Vision Source PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lander Vision Source PC enrolled in Medicare?
Yes. Lander Vision Source PC is registered in the Medicare PECOS enrollment system.
When is Lander Vision Source PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Wyoming, Physician - Optometrist) is due for revalidation by November 30, 2026. 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 Lander Vision Source PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Lander Vision Source 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lander Vision Source 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 list Lander Vision Source 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 Lander Vision Source PC was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lander Vision Source Pc · NPI 1902587751
Optometrist organization in Lander, Wyoming. Organization record, active in the CMS NPPES registry since July 25, 2023.
## Identity
- **NPI:** 1902587751 (Entity type: Organization)
- **Enumerated:** July 25, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Kortny Lancaster, OWNER
## Practice location
- **Address:** 556 MAIN ST, Lander, WY 82520-3032
- **Phone:** (307) 332-2020 · **Fax:** (307) 332-5718
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Wyoming, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1902587751) · Data from the CMS NPPES public registry.