Iwasa Eye Center P.a. is a medicare enrolled "Optometrist" provider in Fruitland, Idaho. Their current practice location is
925 Nw 12th St, Fruitland, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 642-2151.
Iwasa Eye Center P.a. is licensed to practice in Idaho (license number ODP-856) and it also participates in the medicare program. Iwasa Eye Center P.a.
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 1346383957.
Healthcare Provider's Profile
| Full Name | Iwasa Eye Center P.a. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 925 Nw 12th St, Fruitland, Idaho |
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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: 1346383957
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 07/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850475005
- Enrollment ID: O20080226000695
Medical Identifiers
Medical identifiers for Iwasa Eye Center P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346383957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | ODP-856 (Idaho) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Iwasa Eye Center P.a. acts as a billing entity for following providers:
| Provider Name | Daniel E Iwasa |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1750577219
PECOS PAC ID: 1153402193
Enrollment ID: I20080116000459 |
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| Provider Name | John Wesley Porter |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1972089514
PECOS PAC ID: 8820346877
Enrollment ID: I20190809003053 |
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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. Iwasa Eye Center P.a. 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 |
|---|
Iwasa Eye Center P.a.
925 Nw 12th St,
Fruitland, ID 83619-5044
Ph: (208) 452-2151 | Iwasa Eye Center P.a.
925 Nw 12th St,
Fruitland, ID 83619-5044
Ph: (208) 642-2151 |
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