OrganizationActiveAccepts Medicare
Vistar Eye Center
NPI 1003050485 · Eyewear Supplier · Roanoke, VA
Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1003050485
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kathy Cowan, Administrator(540) 855-5123
- License
- 3699 (VA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
70 Summerfield Ct
Roanoke, VA 24019-4579
Phone: (540) 855-5139
Fax: (540) 342-4373
Street-level locationGet directions
Mailing address
Po Box 1789
Roanoke, VA 24008-1789
Registry dates
- Enumerated
- 2009-04-29
- Last updated
- 2009-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.