Imhoff Eye Center is a medicare enrolled "Ophthalmology" provider in Brunswick, Georgia. Their current practice location is
3215 Shrine, Suite 6, Brunswick, Georgia. You can reach out to their office (for appointments etc.) via phone at
(912) 267-0565.
Imhoff Eye Center is licensed to practice in Georgia (license number 023995) and it also participates in the medicare program. Imhoff Eye Center
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 1366540007.
Healthcare Provider's Profile
| Full Name | Imhoff Eye Center |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 3215 Shrine, Brunswick, Georgia |
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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: 1366540007
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749278943
- Enrollment ID: O20040505001037
Medical Identifiers
Medical identifiers for Imhoff Eye Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366540007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPT001640 (Georgia) | Secondary |
| 207W00000X | Ophthalmology | 023995 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Imhoff Eye Center acts as a billing entity for following providers:
| Provider Name | Richard A Vandevelde |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1396757480
PECOS PAC ID: 5991978850
Enrollment ID: I20111109000676 |
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| Provider Name | John E Imhoff |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1669480513
PECOS PAC ID: 8527157577
Enrollment ID: I20111206000504 |
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| Provider Name | Clyde Price |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1518903608
PECOS PAC ID: 1850434762
Enrollment ID: I20120806000910 |
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| Provider Name | Jackie H Johnson |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1679707541
PECOS PAC ID: 8527200153
Enrollment ID: I20130812000580 |
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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. Imhoff Eye Center 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 |
|---|
Imhoff Eye Center
3215 Shrine, Suite 6,
Brunswick, GA 31520
Ph: (912) 267-0565 | Imhoff Eye Center
3215 Shrine, Suite 6,
Brunswick, GA 31520
Ph: (912) 267-0565 |
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