Evelyn Del Real, OD in Los Angeles, CA - Medicare Optometrist Provider

Evelyn Del Real, OD is a medicare enrolled "Optometrist" provider in Los Angeles, California. Her current practice location is 12100 Wilshire Blvd Ste 1275, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (800) 485-9196.

Evelyn Del Real is licensed to practice in California (license number OPT35149-TLG) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174241103.

Contact Information

	Evelyn Del Real, OD
	12100 Wilshire Blvd Ste 1275, Los Angeles, CA 90025-7143
	(800) 485-9196
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evelyn Del Real
Gender	Female
Speciality	Optometrist
Location	12100 Wilshire Blvd Ste 1275, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174241103
Provider Enumeration Date: 08/16/2022
Last Update Date: 08/16/2022

Medicare PECOS Information:

PECOS PAC ID: 1254701832
Enrollment ID: I20221222000720

Medical Identifiers

Medical identifiers for Evelyn Del Real such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174241103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT35149-TLG (California)	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. Evelyn Del Real allows following entities to bill medicare on her behalf.

Provider Name	Clear Concepts Optometry Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417347188 PECOS PAC ID: 0143549931 Enrollment ID: O20150429000229

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. Evelyn Del Real 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
Evelyn Del Real, OD 2726 Somerset Park Cir, San Jose, CA 95132-2277 Ph: (408) 644-3626	Evelyn Del Real, OD 12100 Wilshire Blvd Ste 1275, Los Angeles, CA 90025-7143 Ph: (800) 485-9196

Reviews and Comments

Optometrist in Los Angeles, CA

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Michael Tay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4433 S Alameda St, Los Angeles, CA 90058 Phone: 323-988-1033

Evelyn Del Real, OD - Medicare Optometrist in Los Angeles, CA