Dr Jesse Vincent Dominguez, OD is a medicare enrolled "Optometrist" provider in Somerton, Arizona. He went to Southern California College Of Optometry and graduated in 2002 and has 22 years of diverse experience with area of expertise as Optometry. His current practice location is
725 E. Main St., Suite 1c, Somerton, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 627-4525.
Dr Jesse Vincent Dominguez is licensed to practice in Arizona (license number 1210) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669789814.
Healthcare Provider's Profile
| Full Name | Dr Jesse Vincent Dominguez |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 22 Years |
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| Location | 725 E. Main St., Somerton, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jesse Vincent Dominguez attended and graduated from Southern California College Of Optometry in 2002
NPI Data:
- NPI Number: 1669789814
- Provider Enumeration Date: 09/09/2010
- Last Update Date: 08/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 8022293547
- Enrollment ID: I20110427000588
Medical Identifiers
Medical identifiers for Dr Jesse Vincent Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669789814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1210 (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jesse Vincent Dominguez allows following entities to bill medicare on his behalf.
| Provider Name | Midwestern University |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1932206414
PECOS PAC ID: 6305734773
Enrollment ID: O20040308000663 |
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| Provider Name | Somerton Eyecare Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306981386
PECOS PAC ID: 9133221369
Enrollment ID: O20070219000625 |
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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. Dr Jesse Vincent Dominguez 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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Dr Jesse Vincent Dominguez, OD
Po Box 634,
Somerton, AZ 85350-0634
Ph: (928) 627-4525 | Dr Jesse Vincent Dominguez, OD
725 E. Main St., Suite 1c,
Somerton, AZ 85350-0634
Ph: (928) 627-4525 |
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