Eye Center Boutique is a medicare enrolled "Clinic/center" provider in Carolina, Puerto Rico. Their current practice location is
200 Ave Fragoso Suite 108, Plaza Carolina Mall, Carolina, Puerto Rico. You can reach out to their office (for appointments etc.) via phone at
(787) 768-6666.
Eye Center Boutique is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Eye Center Boutique
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 1972800530.
Healthcare Provider's Profile
| Full Name | Eye Center Boutique |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 200 Ave Fragoso Suite 108, Carolina, 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. |
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NPI Data:
- NPI Number: 1972800530
- Provider Enumeration Date: 02/17/2011
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678757598
- Enrollment ID: O20110418000368
Medical Identifiers
Medical identifiers for Eye Center Boutique such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972800530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 135 (Puerto Rico) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eye Center Boutique acts as a billing entity for following providers:
| Provider Name | Pedro D Salib |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1619281094
PECOS PAC ID: 0547445074
Enrollment ID: I20110427000732 |
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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. Eye Center Boutique 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 |
|---|
Eye Center Boutique
90 Parque Medici, Urb Paseo Del Parque,
San Juan, PR 00926-6514
Ph: (787) 768-6666 | Eye Center Boutique
200 Ave Fragoso Suite 108, Plaza Carolina Mall,
Carolina, PR 00983-3104
Ph: (787) 768-6666 |
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