Family Vision Care Inc is a medicare enrolled "Optometrist" provider in Fayetteville, West Virginia. Their current practice location is
100 Fayette Town Ctr, Fayetteville, West Virginia. You can reach out to their office (for appointments etc.) via phone at
(304) 574-3557.
Family Vision Care Inc is licensed to practice in West Virginia (license number 1042-OD) and it also participates in the medicare program. Family Vision Care Inc
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 1124340559.
Healthcare Provider's Profile
| Full Name | Family Vision Care Inc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 100 Fayette Town Ctr, Fayetteville, West Virginia |
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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: 1124340559
- Provider Enumeration Date: 02/26/2010
- Last Update Date: 04/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 2264569094
- Enrollment ID: O20100427000200
Medical Identifiers
Medical identifiers for Family Vision Care Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124340559 | NPI | - | NPPES |
| 3810016948 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1042-OD (West Virginia) | 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 Vision Care Inc acts as a billing entity for following providers:
| Provider Name | William Pugh |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1821289745
PECOS PAC ID: 6002967577
Enrollment ID: I20090623000343 |
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| Provider Name | Summer D Jones |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1992131627
PECOS PAC ID: 2567690712
Enrollment ID: I20140114001692 |
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| Provider Name | Michael A Buchanan |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1871945295
PECOS PAC ID: 9739450768
Enrollment ID: I20170809000975 |
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| Provider Name | Jessica Fordyce |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1689363459
PECOS PAC ID: 7719345297
Enrollment ID: I20230614003491 |
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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 Vision Care Inc 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 Vision Care Inc
100 Fayette Town Ctr,
Fayetteville, WV 25840-9539
Ph: (304) 574-3557 | Family Vision Care Inc
100 Fayette Town Ctr,
Fayetteville, WV 25840-9539
Ph: (304) 574-3557 |
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