Kings Eye Center Medical Group, Inc. is a medicare enrolled "Ophthalmology" provider in Hanford, California. Their current practice location is
1395 W Lacey Blvd, Hanford, California. You can reach out to their office (for appointments etc.) via phone at
(559) 585-3937.
Kings Eye Center Medical Group, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kings Eye Center Medical Group, 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 1730168931.
Healthcare Provider's Profile
| Full Name | Kings Eye Center Medical Group, Inc. |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 1395 W Lacey Blvd, Hanford, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1730168931
- Provider Enumeration Date: 01/16/2006
- Last Update Date: 06/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 8527004373
- Enrollment ID: O20050630001157
Medical Identifiers
Medical identifiers for Kings Eye Center Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730168931 | NPI | - | NPPES |
| GR0091100 | Medicaid | CA | |
| GSD004060 | Medicaid | CA | |
| 490005146 | Other | CA | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (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.
Kings Eye Center Medical Group, Inc. acts as a billing entity for following providers:
| Provider Name | Stacy R Omon |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1821013707
PECOS PAC ID: 9830197748
Enrollment ID: I20061130000490 |
|---|
| Provider Name | Bradley A Beard |
|---|
| Provider Type | Practitioner - Ophthalmology |
|---|
| Provider Identifiers | NPI Number: 1821077165
PECOS PAC ID: 1951489061
Enrollment ID: I20080605000496 |
|---|
| Provider Name | Ronald S Keck |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1104812346
PECOS PAC ID: 1850461666
Enrollment ID: I20080605000650 |
|---|
| Provider Name | Nathan Panttaja |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1922643584
PECOS PAC ID: 0244664571
Enrollment ID: I20191219002230 |
|---|
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. Kings Eye Center Medical Group, 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 |
|---|
Kings Eye Center Medical Group, Inc.
1395 W Lacey Blvd,
Hanford, CA 93230-5904
Ph: (559) 585-3937 | Kings Eye Center Medical Group, Inc.
1395 W Lacey Blvd,
Hanford, CA 93230-5904
Ph: (559) 585-3937 |
Reviews and Comments