St. Pauls Vision Center is a medicare enrolled "Optometrist" provider in Saint Pauls, North Carolina. Their current practice location is
327 S 5th St, Saint Pauls, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(910) 865-9800.
St. Pauls Vision Center is licensed to practice in North Carolina (license number ) and it also participates in the medicare program. St. Pauls 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 1821139387.
Healthcare Provider's Profile
| Full Name | St. Pauls Vision Center |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 327 S 5th St, Saint Pauls, North Carolina |
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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: 1821139387
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 07/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870531825
- Enrollment ID: O20050502000420
Medical Identifiers
Medical identifiers for St. Pauls Vision Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821139387 | NPI | - | NPPES |
| 890144Q | Medicaid | NC | |
| 0144Q | Other | NC | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
St. Pauls Vision Center acts as a billing entity for following providers:
| Provider Name | Nathan A Lieberman |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1336181643
PECOS PAC ID: 6204874258
Enrollment ID: I20050425000353 |
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| Provider Name | Ann K Lieberman |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1770519514
PECOS PAC ID: 7012955065
Enrollment ID: I20050504000356 |
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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. St. Pauls 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 |
|---|
St. Pauls Vision Center
327 S 5th St,
Saint Pauls, NC 28384-1741
Ph: (910) 865-9800 | St. Pauls Vision Center
327 S 5th St,
Saint Pauls, NC 28384-1741
Ph: (910) 865-9800 |
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