La Porte Vision Center is a medicare enrolled "Eyewear Supplier" provider in La Porte, Texas. Their current practice location is
401 W Fairmont Pkwy, Suite A, La Porte, Texas. You can reach out to their office (for appointments etc.) via phone at
(281) 471-6546.
La Porte Vision Center is licensed to practice in Texas (license number 3011TG) and it also participates in the medicare program. La Porte Vision 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 1336319813.
Healthcare Provider's Profile
| Full Name | La Porte Vision Center |
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| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 401 W Fairmont Pkwy, La Porte, Texas |
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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: 1336319813
- Provider Enumeration Date: 03/11/2008
- Last Update Date: 02/26/2010
Medicare PECOS Information:
- PECOS PAC ID: 2961553276
- Enrollment ID: O20090626000398
Medical Identifiers
Medical identifiers for La Porte Vision Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336319813 | NPI | - | NPPES |
| 112415802 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 3011TG (Texas) | Secondary |
| 332H00000X | Eyewear Supplier | 3011TG (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.
La Porte Vision Center acts as a billing entity for following providers:
| Provider Name | Deborah S Bernay |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1992708606
PECOS PAC ID: 8325197635
Enrollment ID: I20090515000421 |
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| Provider Name | Meagan Nicole Legrand |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1003339755
PECOS PAC ID: 1254602030
Enrollment ID: I20170814001002 |
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| Provider Name | Arslan Tajammul |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1962824045
PECOS PAC ID: 8527455278
Enrollment ID: I20220427000739 |
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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. La Porte Vision 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 |
|---|
La Porte Vision Center
401 W Fairmont Pkwy, Suite A,
La Porte, TX 77571-6307
Ph: (281) 471-6546 | La Porte Vision Center
401 W Fairmont Pkwy, Suite A,
La Porte, TX 77571-6307
Ph: (281) 471-6546 |
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