VISION SOURCE OF BRUNSWICK, OD, PA
NPI 1922572999
Optometrist in Southport, NC
About Vision Source Of Brunswick, Od, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISION SOURCE OF BRUNSWICK, OD, PA (NPI 1922572999) is a healthcare organization registered as an optometrist in Southport, North Carolina and active in the NPI registry since January 2019. The organization lists John Michael Howard, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Vision Source Of Brunswick, Od, Pa 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 Vision Source Of Brunswick, Od, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. 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 Vision Source Of Brunswick, Od, PA's NPI number?
The NPI number for Vision Source Of Brunswick, Od, PA is 1922572999. It was assigned to this organization in the NPPES registry on January 14, 2019.
Where is Vision Source Of Brunswick, Od, PA located?
Vision Source Of Brunswick, Od, PA is located at 4633 Long Beach Rd SE, Southport, NC 28461. The listed phone number is (910) 457-6667.
What is Vision Source Of Brunswick, Od, PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Vision Source Of Brunswick, Od, PA enrolled in Medicare?
Yes. Vision Source Of Brunswick, Od, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vision Source Of Brunswick, Od, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Vision Source Of Brunswick, Od, PA. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Vision Source Of Brunswick, Od, PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Vision Source Of Brunswick, Od, PA 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 Vision Source Of Brunswick, Od, PA was last updated on January 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Vision Source Of Brunswick, Od, Pa · NPI 1922572999
Optometrist organization in Southport, North Carolina. Organization record, active in the CMS NPPES registry since January 14, 2019.
## Identity
- **NPI:** 1922572999 (Entity type: Organization)
- **Enumerated:** January 14, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** John Howard, PRESIDENT
## Practice location
- **Address:** 4633 LONG BEACH RD SE, Southport, NC 28461-8798
- **Phone:** (910) 457-6667 · **Fax:** (910) 457-9530
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1922572999) · Data from the CMS NPPES public registry.