Lakeville Eye Care Center, Inc. is a medicare enrolled "Optometrist" provider in Millington, Michigan. Their current practice location is
9575 State Rd, Millington, Michigan. You can reach out to their office (for appointments etc.) via phone at
(989) 871-9552.
Lakeville Eye Care Center, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lakeville Eye Care Center, 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 1770526436.
Healthcare Provider's Profile
Full Name | Lakeville Eye Care Center, Inc. |
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Type | Facility |
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Speciality | Optometrist |
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Location | 9575 State Rd, Millington, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770526436
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 01/17/2013
Medicare PECOS Information:
- PECOS PAC ID: 3375581549
- Enrollment ID: O20050419000545
Medical Identifiers
Medical identifiers for Lakeville Eye Care Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770526436 | NPI | - | NPPES |
944743819 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
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.
Lakeville Eye Care Center, Inc. acts as a billing entity for following providers:
Provider Name | Teresa M Ennisdecker |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1154322956 PECOS PAC ID: 9830179258 Enrollment ID: I20040724000270 |
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Provider Name | Jennifer Lynn Smalley-huber |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1275682015 PECOS PAC ID: 2668518606 Enrollment ID: I20091006000337 |
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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. Lakeville Eye Care Center, 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 |
Lakeville Eye Care Center, Inc. 9575 State Rd, Millington, MI 48746-9482 Ph: (989) 871-9552 | Lakeville Eye Care Center, Inc. 9575 State Rd, Millington, MI 48746-9482 Ph: (989) 871-9552 |
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