NPIMap

Vision Innovation Centers of Pennsylvania LLC

Organization Active NPI Ophthalmology Physician · Somerset, PA

NPI 1619647435 · NPPES record last updated Feb 27, 2026

Key facts

NPI
1619647435
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
Legal business name
VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Practice address
215 Georgian PL
Somerset, PA 15501-1610
Phone
(814) 445-7236
NPI assigned
Sep 14, 2021
Organization subpart
No

Authorized official

Name
Michael C Pascetta
Title
Cfo
Phone
(860) 652-5002

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 86

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 86

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20211108001269 PA DME Supplier - Physician - Optometrist 0840625349 Practice locations: Somerset, PA

National Provider Directory

Tax ID family
Vision Innovation Centers of Pennsylvania LLC (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207W00000X Yes

Addresses

Primary practice location

215 Georgian PL
Somerset, PA 15501-1610

Mailing address

703 Rutter Ave
Kingston, PA 18704-4801

Other providers in Somerset, PA

All providers in Somerset, PA · Ophthalmology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.