CORSICANA ENVISION EYECARE PA – Optometrist, NPI 1548604580

CORSICANA ENVISION EYECARE PA is a healthcare provider. based in Corsicana, Texas. specializing in Optometrist. The organization holds a License No. 6404-TG (TX). The NPI Number for CORSICANA ENVISION EYECARE PA is 1548604580

Main info

Organization
Name
CORSICANA ENVISION EYECARE PA
NPI
1548604580
Phone
(903) 872-5681
Address
202 W 5TH AVE
Authorized Official
MAX JERRY WORLEY OWNER O.D
Enumeration Date
22 April 2013
Last Update Date
12 April 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for CORSICANA ENVISION EYECARE PA

  • 202 W 5TH AVE

    CORSICANA, TX 751105202

    Phone: (903) 872-5681

    Fax: (903) 872-0603

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (646 days ago).

Enrollment records

2

Earliest due date

2024-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930048328OPhysician - OptometristTX2026-05-31
O20140627001531OClinic/Group PracticeTX2024-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75110)

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Reviews

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Frequently asked questions

How do payers reference CORSICANA ENVISION EYECARE PA?
For CORSICANA ENVISION EYECARE PA, use NPI 1548604580 as the unique 10-digit identifier.
Would CORSICANA ENVISION EYECARE PA appear as active to a payer?
You can treat CORSICANA ENVISION EYECARE PA as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CORSICANA ENVISION EYECARE PA?
At a glance, CORSICANA ENVISION EYECARE PA is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is CORSICANA ENVISION EYECARE PA associated with Corsicana?
Public fields place CORSICANA ENVISION EYECARE PA around Corsicana, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for CORSICANA ENVISION EYECARE PA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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