Eye Surgery Institute is a medicare enrolled "Ophthalmology" provider in Dearborn, Michigan. Their current practice location is
15212 Michigan Ave, Dearborn, Michigan. You can reach out to their office (for appointments etc.) via phone at
(313) 582-8856.
Eye Surgery Institute is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Eye Surgery Institute
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 1386711547.
Healthcare Provider's Profile
| Full Name | Eye Surgery Institute |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 15212 Michigan Ave, Dearborn, Michigan |
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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: 1386711547
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/12/2011
Medicare PECOS Information:
- PECOS PAC ID: 5799732533
- Enrollment ID: O20050405000219
Medical Identifiers
Medical identifiers for Eye Surgery Institute such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386711547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (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.
Eye Surgery Institute acts as a billing entity for following providers:
| Provider Name | Cindy Wang |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1679552525
PECOS PAC ID: 4789766528
Enrollment ID: I20080131000590 |
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| Provider Name | Stanley C Grandon |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1013956556
PECOS PAC ID: 9739261561
Enrollment ID: I20100318000199 |
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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 Surgery Institute 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 Surgery Institute
15212 Michigan Ave,
Dearborn, MI 48126-3497
Ph: (313) 582-8856 | Eye Surgery Institute
15212 Michigan Ave,
Dearborn, MI 48126-3497
Ph: (313) 582-8856 |
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