San Pedro Eye Care Medical Group Inc A Professional Medical Corporatio is a medicare enrolled "Ophthalmology" provider in San Pedro, California. Their current practice location is
571 W 7th St, San Pedro, California. You can reach out to their office (for appointments etc.) via phone at
(310) 833-1627.
San Pedro Eye Care Medical Group Inc A Professional Medical Corporatio is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. San Pedro Eye Care Medical Group Inc A Professional Medical Corporatio
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 1447896154.
Healthcare Provider's Profile
Full Name | San Pedro Eye Care Medical Group Inc A Professional Medical Corporatio |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 571 W 7th St, San Pedro, California |
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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: 1447896154
- Provider Enumeration Date: 11/18/2019
- Last Update Date: 11/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042297376
- Enrollment ID: O20200417002722
Medical Identifiers
Medical identifiers for San Pedro Eye Care Medical Group Inc A Professional Medical Corporatio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447896154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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. San Pedro Eye Care Medical Group Inc A Professional Medical Corporatio 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 |
San Pedro Eye Care Medical Group Inc A Professional Medical Corporatio 75 Enterprise Ste 200, Aliso Viejo, CA 92656-2626 Ph: (949) 688-6205 | San Pedro Eye Care Medical Group Inc A Professional Medical Corporatio 571 W 7th St, San Pedro, CA 90731-3115 Ph: (310) 833-1627 |
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