Advanced Family Eyecare Inc is a medicare enrolled "Optometrist" provider in Sweet Home, Oregon. Their current practice location is
2245 Long St, Sweet Home, Oregon. You can reach out to their office (for appointments etc.) via phone at
(541) 367-2188.
Advanced Family Eyecare Inc is licensed to practice in Oregon (license number 2480ATI) and it also participates in the medicare program. Advanced Family Eyecare Inc
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 1174705438.
Healthcare Provider's Profile
| Full Name | Advanced Family Eyecare Inc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 2245 Long St, Sweet Home, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174705438
- Provider Enumeration Date: 11/28/2007
- Last Update Date: 08/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 6709939143
- Enrollment ID: O20090731000511
Medical Identifiers
Medical identifiers for Advanced Family Eyecare Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174705438 | NPI | - | NPPES |
| 1C 4545640001 | Other | | DMERC |
| 1160810-1 | Other | | BUSINESS ID NUMBER |
| 046719 | Medicaid | OR | |
| 212671 | Other | OR | EYEMED VISION CARE ID NUM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2480ATI (Oregon) | Primary |
| 332H00000X | Eyewear Supplier | 2480ATI (Oregon) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Advanced Family Eyecare Inc acts as a billing entity for following providers:
| Provider Name | Michael W Stoner |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1942316047
PECOS PAC ID: 5496804528
Enrollment ID: I20090601000121 |
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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. Advanced Family Eyecare Inc 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 |
|---|
Advanced Family Eyecare Inc
38661 Palmyre Dr,
Lebanon, OR 97355-9284
Ph: (541) 401-4649 | Advanced Family Eyecare Inc
2245 Long St,
Sweet Home, OR 97386-2845
Ph: (541) 367-2188 |
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