Kurt Theodore Od Pa is a medicare enrolled "Optometrist" provider in Oldsmar, Florida. Their current practice location is
3801 Tampa Rd, Oldsmar, Florida. You can reach out to their office (for appointments etc.) via phone at
(813) 852-2030.
Kurt Theodore Od Pa is licensed to practice in Florida (license number OPC2398) and it also participates in the medicare program. Kurt Theodore Od Pa
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 1609998814.
Healthcare Provider's Profile
| Full Name | Kurt Theodore Od Pa |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 3801 Tampa Rd, Oldsmar, Florida |
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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: 1609998814
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 08/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789570870
- Enrollment ID: O20040225000791
Medical Identifiers
Medical identifiers for Kurt Theodore Od Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609998814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPC2398 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Kurt Theodore Od Pa acts as a billing entity for following providers:
| Provider Name | William Theodore |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1760517882
PECOS PAC ID: 0244126340
Enrollment ID: I20101227000136 |
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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. Kurt Theodore Od Pa 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 |
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Kurt Theodore Od Pa
2747 Gulf To Bay Blvd,
Clearwater, FL 33759-3945
Ph: (727) 431-0234 | Kurt Theodore Od Pa
3801 Tampa Rd,
Oldsmar, FL 34677-3008
Ph: (813) 852-2030 |
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