Advanced Vision Optometry - Medicare Optometrist in Santa Rosa, CA

Advanced Vision Optometry is a medicare enrolled "Optometrist" provider in Santa Rosa, California. Their current practice location is 2655 Cleveland Ave Ste A, Santa Rosa, California. You can reach out to their office (for appointments etc.) via phone at (707) 542-8883.

Advanced Vision Optometry is licensed to practice in California (license number 14545) and it also participates in the medicare program. Advanced Vision Optometry 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 1790200624.

Contact Information

Advanced Vision Optometry
2655 Cleveland Ave Ste A,
Santa Rosa, CA 95403-2779
(707) 542-8883
(707) 546-7787

Map and Direction




Healthcare Provider's Profile

Full NameAdvanced Vision Optometry
TypeFacility
SpecialityOptometrist
Location2655 Cleveland Ave Ste A, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790200624
  • Provider Enumeration Date: 08/11/2017
  • Last Update Date: 09/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0244596369
  • Enrollment ID: O20171106003021

Medical Identifiers

Medical identifiers for Advanced Vision Optometry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790200624NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 14545 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Advanced Vision Optometry acts as a billing entity for following providers:
Provider NameJon E Fitzpatrick
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1356330278
PECOS PAC ID: 6800850595
Enrollment ID: I20041112000614
Provider NamePaula Shadid
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447399662
PECOS PAC ID: 2668582255
Enrollment ID: I20110315000294
Provider NameErica Wu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912241761
PECOS PAC ID: 7113284878
Enrollment ID: I20171207000992

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 Vision Optometry 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 AddressPractice Location Address
Advanced Vision Optometry
2655 Cleveland Ave Ste A,
Santa Rosa, CA 95403-2779

Ph: (707) 542-8883
Advanced Vision Optometry
2655 Cleveland Ave Ste A,
Santa Rosa, CA 95403-2779

Ph: (707) 542-8883

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.