Family Eyecare Center, Llc. is a medicare enrolled "Ophthalmology" provider in Port Charlotte, Florida. Their current practice location is
21178 Olean Blvd, Unit A, Port Charlotte, Florida. You can reach out to their office (for appointments etc.) via phone at
(941) 629-1090.
Family Eyecare Center, Llc. is licensed to practice in Florida (license number OS10225) and it also participates in the medicare program. Family Eyecare 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 1255507075.
Healthcare Provider's Profile
| Full Name | Family Eyecare Center, Llc. |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 21178 Olean Blvd, Port Charlotte, Florida |
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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: 1255507075
- Provider Enumeration Date: 05/01/2008
- Last Update Date: 03/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 8123180544
- Enrollment ID: O20081218000700
Medical Identifiers
Medical identifiers for Family Eyecare Center, Llc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255507075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | OS10225 (Florida) | Primary |
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 Center, Llc. acts as a billing entity for following providers:
| Provider Name | Craig N Czyz |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1205043684
PECOS PAC ID: 6608944871
Enrollment ID: I20081001000678 |
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| Provider Name | Nicole E Alessi |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1255648747
PECOS PAC ID: 4486849635
Enrollment ID: I20101112000818 |
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| Provider Name | Jennifer Gail Martin Maples |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1932124146
PECOS PAC ID: 5496708158
Enrollment ID: I20130708000657 |
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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 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 |
|---|
Family Eyecare Center, Llc.
21178 Olean Blvd, Unit A,
Port Charlotte, FL 33952-6728
Ph: (941) 629-1090 | Family Eyecare Center, Llc.
21178 Olean Blvd, Unit A,
Port Charlotte, FL 33952-6728
Ph: (941) 629-1090 |
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