VISTAR EYE CENTER, INC – Specialist, NPI 1457323545
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for VISTAR EYE CENTER, INC
Roanoke Post Office, 419, Rutherford Avenue Northeast, Roanoke, Virginia, 24022, United States
ROANOKE, VA 240081789
Phone: (540) 855-5139
Fax: (540) 342-4373
Type: Mailing
Vistar Eye Center: Donald Mac Scothorn, OD, 707, South Jefferson Street, Cedar Bluff, Roanoke, Roanoke (city), Virginia, 24016, United States
ROANOKE, VA 240165100
Phone: (540) 855-5139
Fax: (540) 342-4373
Type: Location
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: 2020-06-01
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (289 days ago).
Enrollment records
3
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040511001643 | O | Clinic/Group Practice | VA | TBD |
| O20100930002494 | O | Physician - Optometrist | VA | 2026-05-31 |
| O20200601001140 | O | Clinic/Group Practice | WV | 2025-08-31 |
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.
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 24008)
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