Radiant Eyes LLC
NPI 1679316996 · Optometrist · Sussex, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Radiant Eyes LLC is a Optometrist organization in Sussex, WI (NPI 1679316996).
Provider details
- NPI number
- 1679316996
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Nicole Avgoulas, Optometrist(262) 490-0275
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-06-14
- Last updated
- 2024-07-13
- Certified
- 2024-07-13
Frequently asked questions
- What is Radiant Eyes LLC's NPI number?
- Radiant Eyes LLC's National Provider Identifier (NPI) is 1679316996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiant Eyes LLC?
- Radiant Eyes LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Radiant Eyes LLC located?
- Radiant Eyes LLC's practice location on file with NPPES is W248n5233 Executive Dr Unit 200, Sussex, WI 53089-4318.
- What is Radiant Eyes LLC's phone number?
- The practice phone number listed in the NPPES registry for Radiant Eyes LLC is (262) 304-0080.
- Does Radiant Eyes LLC accept Medicare?
- Radiant Eyes LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Radiant Eyes LLC?
- The authorized official listed on Radiant Eyes LLC's NPPES record is Nicole Avgoulas, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiant Eyes LLC's NPI active?
- Yes — Radiant Eyes LLC's NPI (1679316996) is active in the NPPES registry as of the last update on 2024-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.