Vision Innovation Centers of PA LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Berwick, PA
NPI 1831733260 · NPPES record last updated Apr 9, 2026
Key facts
- NPI
- 1831733260
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- VISION INNOVATION CENTERS OF PA LLC
- Practice address
- 126 W Front St
Berwick, PA 18603-4702 - Phone
- (570) 752-7458
- NPI assigned
- Oct 29, 2019
- Organization subpart
- No
Authorized official
- Name
- Michael Pascetta
- Title
- Cfo
- Phone
- (860) 652-5002
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 20
Practitioners 86
-
Jerome V Benz, DO
-
Michael R Boland, OD
-
Thomas S Boland, MD
-
Natalie M Boyce, OD
-
Jerard W Brown, OD
-
Carrie Allgeier Cardillo, O.D.
-
Neil Chesen, MD
-
Erik Alan Chotiner, M.D.
-
Diane M Delregno, OD
-
Darrell Evans, O.D.
-
Tara M. Farrell, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Vision Innovation Centers of PA |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200110000050 | PA | Part B Supplier - Clinic/Group Practice | 0840625349 |
Receives reassigned benefits from 88 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Somerset, PA; Mountain Top, PA; Nanticoke, PA; Peckville, PA; Pittston, PA; Pocono Summit, PA; Reading, PA; Scranton, PA… |
| O20200220001611 | PA | DME Supplier - Physician - Optometrist | 0840625349 | Practice locations: Berwick, PA |
National Provider Directory
Locations
9 N Market St
Nanticoke, PA 18634
Phone (570) 735-3114
170 Boston Ave
West Pittston, PA 18643
Phone (570) 602-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
126 W Front St
Berwick, PA 18603-4702
Mailing address
703 Rutter Ave
Kingston, PA 18704-4801
Other providers in Berwick, PA
- Alexis Toburen
- Adja Torres
- Jessica Toth
- Neil Umstead
- Valley Spine Specialists, PC
- Christopher Vought
- Kimberly Walsh
- Weis Markets Inc
- Ken Wielgopolski
- Patrick Michael Wielgopolski
All providers in Berwick, PA · Durable Medical Equipment & Medical Supplies in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.