Lakeside Eyecare Llc is a medicare enrolled "Optometrist" provider in Oologah, Oklahoma. Their current practice location is
485 S Elm St, Oologah, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(918) 671-5262.
Lakeside Eyecare Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lakeside Eyecare Llc
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 1659123081.
Healthcare Provider's Profile
| Full Name | Lakeside Eyecare Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 485 S Elm St, Oologah, Oklahoma |
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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: 1659123081
- Provider Enumeration Date: 04/01/2024
- Last Update Date: 04/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890136493
- Enrollment ID: O20240514002647
Medical Identifiers
Medical identifiers for Lakeside Eyecare Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659123081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (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.
Lakeside Eyecare Llc acts as a billing entity for following providers:
| Provider Name | Monte Harrel |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1740288414
PECOS PAC ID: 6608837620
Enrollment ID: I20041213000004 |
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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. Lakeside Eyecare Llc 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 |
|---|
Lakeside Eyecare Llc
17156 S 4102 Rd,
Claremore, OK 74017-9460
Ph: (918) 671-5262 | Lakeside Eyecare Llc
485 S Elm St,
Oologah, OK 74053-3017
Ph: (918) 671-5262 |
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