Commonwealth Vision Center P.c. is a medicare enrolled "Optometrist" provider in Blackstone, Virginia. Their current practice location is
1447 South Main Street, Blackstone, Virginia. You can reach out to their office (for appointments etc.) via phone at
(434) 292-6393.
Commonwealth Vision Center P.c. is licensed to practice in Virginia (license number 0618000199) and it also participates in the medicare program. Commonwealth Vision Center P.c.
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 1578651097.
Healthcare Provider's Profile
Full Name | Commonwealth Vision Center P.c. |
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Type | Facility |
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Speciality | Optometrist |
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Location | 1447 South Main Street, Blackstone, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578651097
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 10/19/2009
Medicare PECOS Information:
- PECOS PAC ID: 2769455930
- Enrollment ID: O20040816001205
Medical Identifiers
Medical identifiers for Commonwealth Vision Center P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578651097 | NPI | - | NPPES |
463891 | Other | VA | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 0618000199 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Commonwealth Vision Center P.c. acts as a billing entity for following providers:
Provider Name | Leonard B Whiteside |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1831287358 PECOS PAC ID: 4587637665 Enrollment ID: I20040817000630 |
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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. Commonwealth Vision Center P.c. 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 |
Commonwealth Vision Center P.c. 1447 South Main Street, Blackstone, VA 23824-2626 Ph: (434) 292-6393 | Commonwealth Vision Center P.c. 1447 South Main Street, Blackstone, VA 23824 Ph: (434) 292-6393 |
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