Doctor Of Eyeballs, Llc is a medicare enrolled "Optometrist" provider in Conshohocken, Pennsylvania. Their current practice location is
828 Fayette St, Conshohocken, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(610) 828-9701.
Doctor Of Eyeballs, Llc is licensed to practice in Pennsylvania (license number OEG001838) and it also participates in the medicare program. Doctor Of Eyeballs, 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 1467860155.
Healthcare Provider's Profile
| Full Name | Doctor Of Eyeballs, Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 828 Fayette St, Conshohocken, Pennsylvania |
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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: 1467860155
- Provider Enumeration Date: 07/26/2014
- Last Update Date: 12/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 9537482757
- Enrollment ID: O20141219000809
Medical Identifiers
Medical identifiers for Doctor Of Eyeballs, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467860155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OEG001838 (Pennsylvania) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | OEG001838 (Pennsylvania) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | OEG001838 (Pennsylvania) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | OEG001838 (Pennsylvania) | Secondary |
| 152WS0006X | Optometrist - Sports Vision | OEG001838 (Pennsylvania) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | OEG001838 (Pennsylvania) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | OEG001838 (Pennsylvania) | Secondary |
| 207W00000X | Ophthalmology | OEG001838 (Pennsylvania) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Doctor Of Eyeballs, Llc acts as a billing entity for following providers:
| Provider Name | Brett William Neal |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1770593428
PECOS PAC ID: 1850393851
Enrollment ID: I20070205000172 |
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| Provider Name | Angela I Pellegrini |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1841453495
PECOS PAC ID: 3870669823
Enrollment ID: I20080828000008 |
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| Provider Name | Erin Kathleen Mcconnell |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1699905307
PECOS PAC ID: 6305999483
Enrollment ID: I20090807000009 |
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| Provider Name | Scott Goldberg |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1720073919
PECOS PAC ID: 9931230828
Enrollment ID: I20100621000526 |
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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. Doctor Of Eyeballs, 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 |
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Doctor Of Eyeballs, Llc
828 Fayette St,
Conshohocken, PA 19428-1709
Ph: (610) 828-9701 | Doctor Of Eyeballs, Llc
828 Fayette St,
Conshohocken, PA 19428-1709
Ph: (610) 828-9701 |
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