Coos Bay Vision Center, Inc is a medicare enrolled "Optometrist" provider in Coos Bay, Oregon. Their current practice location is
986 Central Ave, Coos Bay, Oregon. You can reach out to their office (for appointments etc.) via phone at
(541) 267-4224.
Coos Bay Vision Center, Inc is licensed to practice in Oregon (license number 1992ATI) and it also participates in the medicare program. Coos Bay Vision Center, 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 1851573323.
Healthcare Provider's Profile
| Full Name | Coos Bay Vision Center, Inc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 986 Central Ave, Coos Bay, Oregon |
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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: 1851573323
- Provider Enumeration Date: 11/27/2007
- Last Update Date: 11/06/2008
Medicare PECOS Information:
- PECOS PAC ID: 6608848874
- Enrollment ID: O20040809000641
Medical Identifiers
Medical identifiers for Coos Bay Vision Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851573323 | NPI | - | NPPES |
| 015359 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1992ATI (Oregon) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 1992ATI (Oregon) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 1992ATI (Oregon) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 1992ATI (Oregon) | Secondary |
| 152WS0006X | Optometrist - Sports Vision | 1992ATI (Oregon) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | 1992ATI (Oregon) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 1992ATI (Oregon) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Coos Bay Vision Center, Inc acts as a billing entity for following providers:
| Provider Name | Patricia B Gates |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1255317665
PECOS PAC ID: 7315082468
Enrollment ID: I20100301000867 |
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| Provider Name | Ashley Nicole Calvert |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1104486356
PECOS PAC ID: 4486981867
Enrollment ID: I20190903001935 |
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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. Coos Bay Vision Center, 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 |
|---|
Coos Bay Vision Center, Inc
Po Box 329,
Coos Bay, OR 97420-0034
Ph: (541) 267-4224 | Coos Bay Vision Center, Inc
986 Central Ave,
Coos Bay, OR 97420-1736
Ph: (541) 267-4224 |
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