Frederick Eye Care Pllc is a medicare enrolled "Optometrist" provider in Frederick, Oklahoma. Their current practice location is
104 W Grand Ave, Frederick, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 335-2020.
Frederick Eye Care Pllc is licensed to practice in Oklahoma (license number 2471) and it also participates in the medicare program. Frederick Eye Care Pllc
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 1164585758.
Healthcare Provider's Profile
| Full Name | Frederick Eye Care Pllc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 104 W Grand Ave, Frederick, Oklahoma |
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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: 1164585758
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 04/19/2011
Medicare PECOS Information:
- PECOS PAC ID: 3779688171
- Enrollment ID: O20070413000055
Medical Identifiers
Medical identifiers for Frederick Eye Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164585758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2471 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Frederick Eye Care Pllc acts as a billing entity for following providers:
| Provider Name | Jimmy D Smart |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1114983897
PECOS PAC ID: 6305876921
Enrollment ID: I20060131000074 |
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| Provider Name | Trey D Carlisle |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1629357116
PECOS PAC ID: 6901072420
Enrollment ID: I20120105000417 |
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| Provider Name | Cooper Free |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1134800071
PECOS PAC ID: 0446605687
Enrollment ID: I20231009002068 |
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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. Frederick Eye Care Pllc 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 |
|---|
Frederick Eye Care Pllc
104 W Grand Ave,
Frederick, OK 73542-5436
Ph: (580) 335-2020 | Frederick Eye Care Pllc
104 W Grand Ave,
Frederick, OK 73542-5436
Ph: (580) 335-2020 |
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