Julia Landavazo, OD in Grand Prairie, TX - Medicare Optometrist Provider

Julia Landavazo, OD is a medicare enrolled "Optometrist" provider in Grand Prairie, Texas. Her current practice location is 625 W Dickey Rd, Grand Prairie, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 262-4391.

Julia Landavazo is licensed to practice in Texas (license number 11268) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093552895.

Contact Information

	Julia Landavazo, OD
	625 W Dickey Rd, Grand Prairie, TX 75051-3129
	(972) 262-4391
	(972) 264-6135

Map and Direction

Healthcare Provider's Profile

Full Name	Julia Landavazo
Gender	Female
Speciality	Optometrist
Location	625 W Dickey Rd, Grand Prairie, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093552895
Provider Enumeration Date: 07/10/2024
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 9830621424
Enrollment ID: I20241021003740

Medical Identifiers

Medical identifiers for Julia Landavazo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093552895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	11268 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Julia Landavazo allows following entities to bill medicare on her behalf.

Provider Name	Med Southwest Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609348739 PECOS PAC ID: 4082952874 Enrollment ID: O20190221001481

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. Julia Landavazo 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
Julia Landavazo, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899	Julia Landavazo, OD 625 W Dickey Rd, Grand Prairie, TX 75051-3129 Ph: (972) 262-4391

Reviews and Comments

Optometrist in Grand Prairie, TX

Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 W Dickey Rd, Grand Prairie, TX 75051 Phone: 972-262-4391 Fax: 972-264-6135
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 Phone: 469-805-6583
Dr. Jaime Rene Gonzalez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2634 S Carrier Pkwy, 101, Grand Prairie, TX 75052 Phone: 972-641-0011
Dr. Carolyn K Kha, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4927 Lake Ridge Pkwy, Suite Number 160, Grand Prairie, TX 75052 Phone: 972-641-5900 Fax: 972-641-5903
Optometrist Medicare: Medicare Enrolled Practice Location: 2650 S State Highway 161, Grand Prairie, TX 75052 Phone: 817-213-6607 Fax: 817-608-7879
Dr. Joe Edward Broadway Iii, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2355 N State Highway 360 Apt 625, Grand Prairie, TX 75050 Phone: 972-822-3148

Julia Landavazo, OD - Medicare Optometrist in Grand Prairie, TX