Crossroads Vision Center, Pc is a medicare enrolled "Optometrist" provider in Oklahoma City, Oklahoma. Their current practice location is
3200 Sw 89th St, Oklahoma City, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(405) 692-2526.
Crossroads Vision Center, Pc is licensed to practice in Oklahoma (license number 923) and it also participates in the medicare program. Crossroads Vision Center, Pc
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 1447479159.
Healthcare Provider's Profile
Full Name | Crossroads Vision Center, Pc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 3200 Sw 89th St, Oklahoma City, Oklahoma |
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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: 1447479159
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 06/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 1153534805
- Enrollment ID: O20120705000560
Medical Identifiers
Medical identifiers for Crossroads Vision Center, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447479159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 923 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Crossroads Vision Center, Pc acts as a billing entity for following providers:
Provider Name | Randel Sterling Hicks |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1164531109 PECOS PAC ID: 7517170269 Enrollment ID: I20120705000594 |
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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. Crossroads Vision Center, Pc 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 |
Crossroads Vision Center, Pc 3200 Sw 89th St, Oklahoma City, OK 73159-7902 Ph: (405) 692-2526 | Crossroads Vision Center, Pc 3200 Sw 89th St, Oklahoma City, OK 73159-7902 Ph: (405) 692-2526 |
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