Duvall Optical Lab Llc is a medicare enrolled "Eyewear Supplier" provider in Juana Diaz, Puerto Rico. Their current practice location is
Calle Hostos Esq Calle Comercio 1b, Juana Diaz, Puerto Rico. You can reach out to their office (for appointments etc.) via phone at
(787) 580-7533.
Duvall Optical Lab Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Duvall Optical Lab 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 1366131005.
Healthcare Provider's Profile
| Full Name | Duvall Optical Lab Llc |
|---|
| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | Calle Hostos Esq Calle Comercio 1b, Juana Diaz, Puerto Rico |
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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: 1366131005
- Provider Enumeration Date: 05/08/2023
- Last Update Date: 05/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133662430
- Enrollment ID: O20240614001766
Medical Identifiers
Medical identifiers for Duvall Optical Lab Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366131005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Duvall Optical Lab Llc acts as a billing entity for following providers:
| Provider Name | Raul Andres Lopez |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1932688496
PECOS PAC ID: 5092189407
Enrollment ID: I20230327002594 |
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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. Duvall Optical Lab 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 |
|---|
Duvall Optical Lab Llc
Pmb 101 Po Box 94000,
Corozal, PR 00783
Ph: (787) 245-7450 | Duvall Optical Lab Llc
Calle Hostos Esq Calle Comercio 1b,
Juana Diaz, PR 00795
Ph: (787) 580-7533 |
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