PLYMOUTH VISION CENTER, INC.
NPI 1902943822
Optometrist in Plymouth, MN
About Plymouth Vision Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLYMOUTH VISION CENTER, INC. (NPI 1902943822) is a healthcare organization registered as an optometrist in Plymouth, Minnesota and active in the NPI registry since January 2007. The organization lists Tate Herman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Plymouth Vision Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Plymouth Vision Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Plymouth Vision Center, Inc.'s NPI number?
The NPI number for Plymouth Vision Center, Inc. is 1902943822. It was assigned to this organization in the NPPES registry on January 31, 2007.
Where is Plymouth Vision Center, Inc. located?
Plymouth Vision Center, Inc. is located at 3007 Harbor Ln N Ste 1500, Plymouth, MN 55447. The listed phone number is (763) 559-4669.
What is Plymouth Vision Center, Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Plymouth Vision Center, Inc. enrolled in Medicare?
Yes. Plymouth Vision Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Plymouth Vision Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Plymouth Vision Center, Inc.. 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 Plymouth Vision Center, Inc. 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 1 other insurer list Plymouth Vision Center, Inc. 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 Plymouth Vision Center, Inc. was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Plymouth Vision Center, Inc. · NPI 1902943822
Optometrist organization in Plymouth, Minnesota. Organization record, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1902943822 (Entity type: Organization)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Tate Herman, OWNER
## Practice location
- **Address:** 3007 HARBOR LN N STE 1500, Plymouth, MN 55447-5103
- **Phone:** (763) 559-4669 · **Fax:** (763) 559-4767
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2022
- **Other identifiers:** Other 16F68PL (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1902943822) · Data from the CMS NPPES public registry.