Fruitport Family Eye Care, Pllc is a medicare enrolled "Optometrist" provider in Fruitport, Michigan. Their current practice location is
388 N 3rd Ave, Ste I, Fruitport, Michigan. You can reach out to their office (for appointments etc.) via phone at
(231) 865-9990.
Fruitport Family Eye Care, Pllc is licensed to practice in Michigan (license number 4901003947) and it also participates in the medicare program. Fruitport Family 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 1326318734.
Healthcare Provider's Profile
Full Name | Fruitport Family Eye Care, Pllc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 388 N 3rd Ave, Fruitport, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326318734
- Provider Enumeration Date: 01/03/2012
- Last Update Date: 01/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 1254508708
- Enrollment ID: O20120124000481
Medical Identifiers
Medical identifiers for Fruitport Family Eye Care, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326318734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4901003947 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fruitport Family Eye Care, Pllc acts as a billing entity for following providers:
Provider Name | Deborah L Osborne |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1760465264 PECOS PAC ID: 7719040906 Enrollment ID: I20090114000548 |
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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. Fruitport Family 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 |
Fruitport Family Eye Care, Pllc 388 N 3rd Ave, Ste I, Fruitport, MI 49415-9785 Ph: (231) 865-9990 | Fruitport Family Eye Care, Pllc 388 N 3rd Ave, Ste I, Fruitport, MI 49415-9785 Ph: (231) 865-9990 |
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