Bread Of Life Vision Llc is a medicare enrolled "Clinic/center" provider in Miami, Florida. Their current practice location is
15601 Sw 127th Ave, Miami, Florida. You can reach out to their office (for appointments etc.) via phone at
(786) 250-3217.
Bread Of Life Vision Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Bread Of Life Vision Llc
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 1356929343.
Healthcare Provider's Profile
| Full Name | Bread Of Life Vision Llc |
|---|
| Type | Facility |
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| Speciality | Clinic/center |
|---|
| Location | 15601 Sw 127th Ave, Miami, Florida |
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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: 1356929343
- Provider Enumeration Date: 03/31/2021
- Last Update Date: 06/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567870157
- Enrollment ID: O20210420002226
Medical Identifiers
Medical identifiers for Bread Of Life Vision Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356929343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (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.
Bread Of Life Vision Llc acts as a billing entity for following providers:
| Provider Name | Alberto Sanchez |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1821456450
PECOS PAC ID: 3476961061
Enrollment ID: I20210420002342 |
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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. Bread Of Life Vision Llc 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 |
|---|
Bread Of Life Vision Llc
16448 Sw 67th Ter,
Miami, FL 33193-5591
Ph: (786) 250-3217 | Bread Of Life Vision Llc
15601 Sw 127th Ave,
Miami, FL 33177-1406
Ph: (786) 250-3217 |
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