Crystal Clear Eyecare, Llc is a medicare enrolled "Optometrist" provider in Ponchatoula, Louisiana. Their current practice location is
139 W Oak St, Ponchatoula, Louisiana. You can reach out to their office (for appointments etc.) via phone at
(985) 467-1223.
Crystal Clear Eyecare, Llc is licensed to practice in Louisiana (license number 1666-700AT) and it also participates in the medicare program. Crystal Clear Eyecare, Llc
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 1790150225.
Healthcare Provider's Profile
Full Name | Crystal Clear Eyecare, Llc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 139 W Oak St, Ponchatoula, Louisiana |
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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: 1790150225
- Provider Enumeration Date: 12/09/2015
- Last Update Date: 02/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 1951607852
- Enrollment ID: O20160302001334
Medical Identifiers
Medical identifiers for Crystal Clear Eyecare, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790150225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1666-700AT (Louisiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Crystal Clear Eyecare, Llc acts as a billing entity for following providers:
Provider Name | Crystal Gayle Gueldner |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1700218054 PECOS PAC ID: 8224262522 Enrollment ID: I20130927000287 |
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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. Crystal Clear Eyecare, Llc 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 |
Crystal Clear Eyecare, Llc Po Box 2128, Ponchatoula, LA 70454-2128 Ph: () - | Crystal Clear Eyecare, Llc 139 W Oak St, Ponchatoula, LA 70454-3328 Ph: (985) 467-1223 |
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