Boomtown Vision Pllc is a medicare enrolled "Optometrist" provider in Burkburnett, Texas. Their current practice location is
312 S Avenue D, Burkburnett, Texas. You can reach out to their office (for appointments etc.) via phone at
(940) 569-1177.
Boomtown Vision Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Boomtown Vision Pllc
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 1720447071.
Healthcare Provider's Profile
| Full Name | Boomtown Vision Pllc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 312 S Avenue D, Burkburnett, Texas |
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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: 1720447071
- Provider Enumeration Date: 02/15/2016
- Last Update Date: 02/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 2163720145
- Enrollment ID: O20160406002335
Medical Identifiers
Medical identifiers for Boomtown Vision Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720447071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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.
Boomtown Vision Pllc acts as a billing entity for following providers:
| Provider Name | Sarah Cooper Solomons |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1366798498
PECOS PAC ID: 1355595349
Enrollment ID: I20130128000351 |
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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. Boomtown Vision Pllc 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 |
|---|
Boomtown Vision Pllc
312 S Avenue D,
Burkburnett, TX 76354-3564
Ph: (940) 569-1177 | Boomtown Vision Pllc
312 S Avenue D,
Burkburnett, TX 76354-3564
Ph: (940) 569-1177 |
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