Interior Eye Center, Llc is a medicare enrolled "Ophthalmology" provider in Fairbanks, Alaska. Their current practice location is
1405 Kellum St Ste 300, Fairbanks, Alaska. You can reach out to their office (for appointments etc.) via phone at
(907) 479-2020.
Interior Eye Center, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Interior Eye Center, 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 1568107670.
Healthcare Provider's Profile
| Full Name | Interior Eye Center, Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1405 Kellum St Ste 300, Fairbanks, Alaska |
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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: 1568107670
- Provider Enumeration Date: 05/03/2022
- Last Update Date: 07/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062895170
- Enrollment ID: O20220822002167
Medical Identifiers
Medical identifiers for Interior Eye Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568107670 | NPI | - | NPPES |
| 2161194 | Other | AK | STATE OF ALASKA BUSINESS LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (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.
Interior Eye Center, Llc acts as a billing entity for following providers:
| Provider Name | Stanley R Fuller |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1396034658
PECOS PAC ID: 8325355167
Enrollment ID: I20150911000561 |
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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. Interior Eye Center, 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 |
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Interior Eye Center, Llc
1405 Kellum St Ste 300,
Fairbanks, AK 99701-4189
Ph: (907) 370-3966 | Interior Eye Center, Llc
1405 Kellum St Ste 300,
Fairbanks, AK 99701-4189
Ph: (907) 479-2020 |
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