Eyeland Optical is a medicare enrolled "Optometrist" provider in Vashon, Washington. Their current practice location is
17609 Vashon Hwy Sw, Vashon, Washington. You can reach out to their office (for appointments etc.) via phone at
(206) 463-2020.
Eyeland Optical is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Eyeland Optical
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 1134292915.
Healthcare Provider's Profile
| Full Name | Eyeland Optical |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 17609 Vashon Hwy Sw, Vashon, Washington |
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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: 1134292915
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 05/28/2008
Medicare PECOS Information:
- PECOS PAC ID: 9638140072
- Enrollment ID: O20040802000340
Medical Identifiers
Medical identifiers for Eyeland Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134292915 | NPI | - | NPPES |
| 2024420 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (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.
Eyeland Optical acts as a billing entity for following providers:
| Provider Name | Jon M Willems |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1821072539
PECOS PAC ID: 4789644261
Enrollment ID: I20041019000417 |
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| Provider Name | John J Mayes |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1073687562
PECOS PAC ID: 3577744648
Enrollment ID: I20110222001057 |
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| Provider Name | Anthony R Lopez |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1477820660
PECOS PAC ID: 2466671532
Enrollment ID: I20140923000555 |
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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. Eyeland Optical 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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Eyeland Optical
Po Box 706,
Vashon, WA 98070-5204
Ph: (206) 463-2020 | Eyeland Optical
17609 Vashon Hwy Sw,
Vashon, WA 98070-5204
Ph: (206) 463-2020 |
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