Lake Tahoe Eye Care Optometry Inc is a medicare enrolled "Optometrist" provider in So Lake Tahoe, California. Their current practice location is
2074 Lake Tahoe Blvd, Suite 2, So Lake Tahoe, California. You can reach out to their office (for appointments etc.) via phone at
(530) 541-2030.
Lake Tahoe Eye Care Optometry Inc is licensed to practice in California (license number COR53) and it also participates in the medicare program. Lake Tahoe Eye Care Optometry 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 1831252808.
Healthcare Provider's Profile
| Full Name | Lake Tahoe Eye Care Optometry Inc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 2074 Lake Tahoe Blvd, So Lake Tahoe, California |
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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: 1831252808
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 09/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 8022191402
- Enrollment ID: O20080207000593
Medical Identifiers
Medical identifiers for Lake Tahoe Eye Care Optometry Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831252808 | NPI | - | NPPES |
| ZZZ75623Z | Other | | MEDICARE GROUP PROVIDER # |
| GSD000760 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | COR53 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lake Tahoe Eye Care Optometry Inc acts as a billing entity for following providers:
| Provider Name | Richard J Beck |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1811906597
PECOS PAC ID: 4284717661
Enrollment ID: I20100519000784 |
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| Provider Name | Mark M Lehmann |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1619936481
PECOS PAC ID: 0042334161
Enrollment ID: I20100826000496 |
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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. Lake Tahoe Eye Care Optometry 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 |
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Lake Tahoe Eye Care Optometry Inc
2074 Lake Tahoe Blvd, Suite 2,
So Lake Tahoe, CA 96150-6408
Ph: (530) 541-2030 | Lake Tahoe Eye Care Optometry Inc
2074 Lake Tahoe Blvd, Suite 2,
So Lake Tahoe, CA 96150-6408
Ph: (530) 541-2030 |
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