Bridgeport Family Vision Clinic, Pllc - Medicare Optometrist in Lakewood, WA

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Bridgeport Family Vision Clinic, Pllc is a medicare enrolled "Optometrist" provider in Lakewood, Washington. Their current practice location is 9101 Bridgeport Way Sw, Suite C, Lakewood, Washington. You can reach out to their office (for appointments etc.) via phone at (253) 588-2254.

Bridgeport Family Vision Clinic, Pllc is licensed to practice in Washington (license number OD1574) and it also participates in the medicare program. Bridgeport Family Vision Clinic, 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 1235517541.

Contact Information

Bridgeport Family Vision Clinic, Pllc
9101 Bridgeport Way Sw, Suite C,
Lakewood, WA 98499-2419
(253) 588-2254
(253) 588-0545

Map and Direction




Healthcare Provider's Profile

Full NameBridgeport Family Vision Clinic, Pllc
TypeFacility
SpecialityOptometrist
Location9101 Bridgeport Way Sw, Lakewood, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235517541
  • Provider Enumeration Date: 05/07/2015
  • Last Update Date: 05/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6901113596
  • Enrollment ID: O20150915000703

Medical Identifiers

Medical identifiers for Bridgeport Family Vision Clinic, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235517541NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OD1574 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bridgeport Family Vision Clinic, Pllc acts as a billing entity for following providers:
Provider NameDale L Tosland
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1285629485
PECOS PAC ID: 1254323678
Enrollment ID: I20100315000993
Provider NameAnna M Gunn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295015832
PECOS PAC ID: 0749442879
Enrollment ID: I20120507000255
Provider NameJeremy Whitney
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033596127
PECOS PAC ID: 6800101494
Enrollment ID: I20150811004834
Provider NameBrett E Igbinoba
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548610066
PECOS PAC ID: 3678866704
Enrollment ID: I20160726002866
Provider NameArtika L Naidu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1831574730
PECOS PAC ID: 1850673609
Enrollment ID: I20170131001415
Provider NameNathan Jen Ho
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093207110
PECOS PAC ID: 1355773631
Enrollment ID: I20191108000042
Provider NameFlynt E Davies
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447875661
PECOS PAC ID: 2062836869
Enrollment ID: I20200720000188
Provider NameMatthew Polster
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154604692
PECOS PAC ID: 8921318932
Enrollment ID: I20200923000072
Provider NameJemi Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861264392
PECOS PAC ID: 7315394509
Enrollment ID: I20231219003189

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. Bridgeport Family Vision Clinic, 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 AddressPractice Location Address
Bridgeport Family Vision Clinic, Pllc
9101 Bridgeport Way Sw, Suite C,
Lakewood, WA 98499-2419

Ph: (253) 588-2254		Bridgeport Family Vision Clinic, Pllc
9101 Bridgeport Way Sw, Suite C,
Lakewood, WA 98499-2419

Ph: (253) 588-2254

Reviews and Comments


Optometrist in Lakewood, WA

David Thomas Williams, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 9101 Bridgeport Way Sw, Lakewood, WA 98499
Phone: 253-588-2254    Fax: 253-588-0545
Eyejoa Optical
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 8705 S Tacoma Way, Lakewood, WA 98499
Phone: 253-582-3698    
Dr. Tara S. Waterbury,
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 8705 S Tacoma Way, Lakewood, WA 98499
Phone: 253-582-3698    
Kathy C Kim, O.d.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 6405 Steilacoom Blvd Sw, Suite A, Lakewood, WA 98499
Phone: 253-582-9089    
Bridgeport Vision Clinic
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 9101 Bridgeport Way Sw, Lakewood, WA 98499
Phone: 253-588-2254    Fax: 253-588-0545
Duke B Yoon, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5202 100th St Sw, Lakewood, WA 98499
Phone: 253-582-0760    Fax: 253-588-8988

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.