Family Eyecare Associates 43-1628740 is a medicare enrolled "Ophthalmology" provider in Lebanon, Missouri. Their current practice location is
279 E Elm, Lebanon, Missouri. You can reach out to their office (for appointments etc.) via phone at
(417) 532-2562.
Family Eyecare Associates 43-1628740 is licensed to practice in Missouri (license number TO2552) and it also participates in the medicare program. Family Eyecare Associates 43-1628740
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 1316078868.
Healthcare Provider's Profile
| Full Name | Family Eyecare Associates 43-1628740 |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 279 E Elm, Lebanon, Missouri |
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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: 1316078868
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 03/14/2011
Medicare PECOS Information:
- PECOS PAC ID: 1355449414
- Enrollment ID: O20100623000380
Medical Identifiers
Medical identifiers for Family Eyecare Associates 43-1628740 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316078868 | NPI | - | NPPES |
| 312368301 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2552 (Missouri) | Secondary |
| 207W00000X | Ophthalmology | TO2552 (Missouri) | Primary |
| 332H00000X | Eyewear Supplier | 2552 (Missouri) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Family Eyecare Associates 43-1628740 acts as a billing entity for following providers:
| Provider Name | Michael Montgomery |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1124002969
PECOS PAC ID: 0244338309
Enrollment ID: I20070615000442 |
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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. Family Eyecare Associates 43-1628740 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 |
|---|
Family Eyecare Associates 43-1628740
Po Box 248, 279 East Elm,
Lebanon, MO 65536-0248
Ph: (417) 532-2562 | Family Eyecare Associates 43-1628740
279 E Elm,
Lebanon, MO 65536
Ph: (417) 532-2562 |
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