Dr Timothy R Landis, OD is a medicare enrolled "Optometrist" provider in Peterson Afb, Colorado. His current practice location is
559 Vincent St Bldg 959, Peterson Afb, Colorado. You can reach out to his office (for appointments etc.) via phone at
(702) 653-3010.
Dr Timothy R Landis is licensed to practice in West Virginia (license number 1O73-OD) 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 1578555645.
Healthcare Provider's Profile
| Full Name | Dr Timothy R Landis |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 559 Vincent St Bldg 959, Peterson Afb, Colorado |
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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 Timothy R Landis attended and graduated from in
NPI Data:
- NPI Number: 1578555645
- Provider Enumeration Date: 08/16/2005
- Last Update Date: 01/26/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Timothy R Landis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578555645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1322 DT (Kentucky) | Secondary |
| 152W00000X | Optometrist | 1O73-OD (West Virginia) | Primary |
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 Timothy R Landis 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 |
|---|
Dr Timothy R Landis, OD
1895 Nature Park Dr,
North Las Vegas, NV 89084-3151
Ph: (270) 319-8784 | Dr Timothy R Landis, OD
559 Vincent St Bldg 959,
Peterson Afb, CO 80914-1541
Ph: (702) 653-3010 |
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