Lavi Vision Pc in Grand Prairie, TX - Medicare Optometrist Provider

Lavi Vision Pc is a medicare enrolled "Optometrist" provider in Grand Prairie, Texas. Their current practice location is 2325 W Interstate 20, Grand Prairie, Texas. You can reach out to their office (for appointments etc.) via phone at (510) 300-5810.

Lavi Vision Pc is licensed to practice in Texas (license number 7696TG) and it also participates in the medicare program. Lavi Vision Pc 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 1558636613.

Contact Information

	Lavi Vision Pc
	2325 W Interstate 20, Grand Prairie, TX 75052-3927
	(510) 300-5810
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lavi Vision Pc
Type	Facility
Speciality	Optometrist
Location	2325 W Interstate 20, Grand Prairie, Texas
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558636613
Provider Enumeration Date: 03/21/2012
Last Update Date: 03/21/2012

Medicare PECOS Information:

PECOS PAC ID: 0446411672
Enrollment ID: O20120416000787

Medical Identifiers

Medical identifiers for Lavi Vision Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558636613	NPI	-	NPPES
2871717	Medicaid	TX
TXB141982	Other	TX	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	7696TG (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. Lavi Vision Pc acts as a billing entity for following providers:

Provider Name	Julia Nguyen Ta
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1497808976 PECOS PAC ID: 6709982747 Enrollment ID: I20120103000590

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. Lavi Vision Pc 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
Lavi Vision Pc 2934 Pegasus Ct, Grand Prairie, TX 75052-8042 Ph: (510) 300-5810	Lavi Vision Pc 2325 W Interstate 20, Grand Prairie, TX 75052-3927 Ph: (510) 300-5810

Reviews and Comments

Optometrist in Grand Prairie, TX

Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 W Dickey Rd, Grand Prairie, TX 75051 Phone: 972-262-4391 Fax: 972-264-6135
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 Phone: 469-805-6583
Dr. Jaime Rene Gonzalez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2634 S Carrier Pkwy, 101, Grand Prairie, TX 75052 Phone: 972-641-0011
Julia Landavazo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 625 W Dickey Rd, Grand Prairie, TX 75051 Phone: 972-262-4391 Fax: 972-264-6135
Dr. Carolyn K Kha, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4927 Lake Ridge Pkwy, Suite Number 160, Grand Prairie, TX 75052 Phone: 972-641-5900 Fax: 972-641-5903
Optometrist Medicare: Medicare Enrolled Practice Location: 2650 S State Highway 161, Grand Prairie, TX 75052 Phone: 817-213-6607 Fax: 817-608-7879
Dr. Joe Edward Broadway Iii, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2355 N State Highway 360 Apt 625, Grand Prairie, TX 75050 Phone: 972-822-3148

Lavi Vision Pc - Medicare Optometrist in Grand Prairie, TX