Coastal Eye Specialists Medical Group Inc is a medicare enrolled "Ophthalmology" provider in Oxnard, California. Their current practice location is
1700 N Rose Ave, Suite 200, Oxnard, California. You can reach out to their office (for appointments etc.) via phone at
(805) 983-0700.
Coastal Eye Specialists Medical Group Inc is licensed to practice in California (license number A92760) and it also participates in the medicare program. Coastal Eye Specialists Medical Group 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 1891873139.
Healthcare Provider's Profile
| Full Name | Coastal Eye Specialists Medical Group Inc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1700 N Rose Ave, Oxnard, California |
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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: 1891873139
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 08/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911896865
- Enrollment ID: O20040310001608
Medical Identifiers
Medical identifiers for Coastal Eye Specialists Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891873139 | NPI | - | NPPES |
| GR0076240 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | LIAOOD OPT115TPA (California) | Primary |
| 207W00000X | Ophthalmology | G50251 (California) | Primary |
| 207W00000X | Ophthalmology | A92760 (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.
Coastal Eye Specialists Medical Group Inc acts as a billing entity for following providers:
| Provider Name | Mary Meiya Liao |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1992858526
PECOS PAC ID: 1456242981
Enrollment ID: I20040323001277 |
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| Provider Name | Wei Lee Wan |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1558414193
PECOS PAC ID: 0648169599
Enrollment ID: I20110510000245 |
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| Provider Name | Lisha Caye Wan |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1558830018
PECOS PAC ID: 1557609443
Enrollment ID: I20190219003302 |
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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. Coastal Eye Specialists Medical Group 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 |
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Coastal Eye Specialists Medical Group Inc
1700 N Rose Ave, Suite 200,
Oxnard, CA 93030
Ph: (805) 983-0700 | Coastal Eye Specialists Medical Group Inc
1700 N Rose Ave, Suite 200,
Oxnard, CA 93030
Ph: (805) 983-0700 |
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