Granite City Vision, Inc. is a medicare enrolled "Preferred Provider Organization" provider in Granite City, Illinois. Their current practice location is
4182 Nameoki Rd., Granite City, Illinois. You can reach out to their office (for appointments etc.) via phone at
(618) 876-2438.
Granite City Vision, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Granite City Vision, 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 1174756902.
Healthcare Provider's Profile
| Full Name | Granite City Vision, Inc. |
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| Type | Facility |
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| Speciality | Preferred Provider Organization |
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| Location | 4182 Nameoki Rd., Granite City, Illinois |
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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: 1174756902
- Provider Enumeration Date: 08/27/2009
- Last Update Date: 08/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 2860523891
- Enrollment ID: O20100708000266
Medical Identifiers
Medical identifiers for Granite City Vision, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174756902 | NPI | - | NPPES |
| 08533 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156FC0801X | Technician/technologist - Contact Lens Fitter | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
| 305R00000X | Preferred Provider Organization | (* (Not Available)) | Primary |
| 305S00000X | Point Of Service | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Granite City Vision, Inc. acts as a billing entity for following providers:
| Provider Name | Valerie J Barber |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1265504443
PECOS PAC ID: 8224087754
Enrollment ID: I20050121000423 |
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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. Granite City Vision, 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 |
|---|
Granite City Vision, Inc.
4182 Nameoki Rd.,
Granite City, IL 62040-2330
Ph: (618) 876-2438 | Granite City Vision, Inc.
4182 Nameoki Rd.,
Granite City, IL 62040-2330
Ph: (618) 876-2438 |
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