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UNIVERSITY PARK VISION CENTER LLC
NPI 1932861713
Optometrist in Fort Wayne, IN

Active since October 09, 2021
1221 MEDICAL PARK DR, FORT WAYNE, IN 46825(260) 471-2000(260) 471-2100 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2021, Oct 9, 2021 (2 updates tracked since 2021).

About University Park Vision Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY PARK VISION CENTER LLC (NPI 1932861713) is a healthcare organization registered as an optometrist in Fort Wayne, Indiana and active in the NPI registry since October 2021. The organization lists Amy Reidhaar, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1932861713
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameUNIVERSITY PARK VISION CENTER LLC
Location Address1221 MEDICAL PARK DRFort Wayne, IN 46825-5887
Mailing Address10723 Knollton RunFort Wayne, IN 46818-8746 · (260) 705-2285
Phone(260) 471-2000
Fax(260) 471-2100
Organization SubpartNo
Authorized OfficialAmy ReidhaarOptometrist · (260) 471-2000
Enumeration DateOctober 9, 2021
Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
✔ NPI 1932861713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X
Also ListedEyewear SupplierTaxonomy 332H00000X
1221 MEDICAL PARK DR, Fort Wayne, IN 46825
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

University Park Vision Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to University Park Vision Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Reidhaar, OD
Optometry
NPI 1609283258
1221 MEDICAL PARK DR
Fort Wayne, IN 46825
(260) 471-2000
✔ PECOS✔ Accepts MedicareSame address

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 University Park Vision Center LLC's NPI number?

The NPI number for University Park Vision Center LLC is 1932861713. It was assigned to this organization in the NPPES registry on October 9, 2021.

Where is University Park Vision Center LLC located?

University Park Vision Center LLC is located at 1221 Medical Park Dr, Fort Wayne, IN 46825. The listed phone number is (260) 471-2000.

What is University Park Vision Center LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is University Park Vision Center LLC enrolled in Medicare?

Yes. University Park Vision Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Park Vision Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to University Park Vision Center LLC. 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 University Park Vision Center LLC 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 list University Park Vision Center LLC 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 University Park Vision Center LLC was last updated on November 23, 2021. 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.