Grover Optical Llc is a medicare enrolled "Optometrist" provider in Gowanda, New York. Their current practice location is
6 E Main St, Gowanda, New York. You can reach out to their office (for appointments etc.) via phone at
(716) 532-2396.
Grover Optical Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Grover Optical 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 1386264307.
Healthcare Provider's Profile
| Full Name | Grover Optical Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 6 E Main St, Gowanda, New York |
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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: 1386264307
- Provider Enumeration Date: 04/20/2020
- Last Update Date: 04/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 6002227972
- Enrollment ID: O20201125000093
Medical Identifiers
Medical identifiers for Grover Optical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386264307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Grover Optical Llc acts as a billing entity for following providers:
| Provider Name | Jillian Beyer |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1730342767
PECOS PAC ID: 6103045133
Enrollment ID: I20140924000034 |
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| Provider Name | James Gordon Beiter |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1275974230
PECOS PAC ID: 7214250109
Enrollment ID: I20141229002218 |
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| Provider Name | Randi Gail Stewart |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1952895450
PECOS PAC ID: 4688904931
Enrollment ID: I20201123002199 |
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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. Grover Optical 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 |
|---|
Grover Optical Llc
6 E Main St,
Gowanda, NY 14070-1208
Ph: (716) 532-2396 | Grover Optical Llc
6 E Main St,
Gowanda, NY 14070-1208
Ph: (716) 532-2396 |
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