Active Life Eye Care, Od, Pa in Madison, NC - Medicare Optometrist Provider

Active Life Eye Care, Od, Pa is a medicare enrolled "Optometrist" provider in Madison, North Carolina. Their current practice location is 415 W Academy St, Madison, North Carolina. You can reach out to their office (for appointments etc.) via phone at (336) 404-6235.

Active Life Eye Care, Od, Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Active Life Eye Care, Od, Pa is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1740663855.

Contact Information

	Active Life Eye Care, Od, Pa
	415 W Academy St, Madison, NC 27025-2005
	(336) 404-6235
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Active Life Eye Care, Od, Pa
Type	Facility
Speciality	Optometrist
Location	415 W Academy St, Madison, North Carolina
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740663855
Provider Enumeration Date: 07/07/2015
Last Update Date: 01/11/2016

Medicare PECOS Information:

PECOS PAC ID: 5597075259
Enrollment ID: O20151109001223

Medical Identifiers

Medical identifiers for Active Life Eye Care, Od, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740663855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Active Life Eye Care, Od, Pa acts as a billing entity for following providers:

Provider Name	Brent B Johnson
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1235239641 PECOS PAC ID: 0446226476 Enrollment ID: I20160112001715

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Life Eye Care, Od, Pa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Active Life Eye Care, Od, Pa 415 W Academy St, Madison, NC 27025-2005 Ph: (336) 404-6235	Active Life Eye Care, Od, Pa 415 W Academy St, Madison, NC 27025-2005 Ph: (336) 404-6235

Reviews and Comments

Optometrist in Madison, NC

Dr. Brent Bundy Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 714 Highway St, Madison, NC 27025 Phone: 336-427-2020 Fax: 336-427-2022
Dr. Truc Ly Nguyen Tran, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 714 Highway St, Madison, NC 27025 Phone: 336-427-2020
Myeyedr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 714 N Highway St, Madison, NC 27025 Phone: 336-427-2020 Fax: 336-427-2022

Active Life Eye Care, Od, Pa - Medicare Optometrist in Madison, NC