Lifetime Eyecare P.c. is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Jenison, Michigan. Their current practice location is
597 Baldwin St, Jenison, Michigan. You can reach out to their office (for appointments etc.) via phone at
(616) 457-0760.
Lifetime Eyecare P.c. is licensed to practice in Michigan (license number ) and it also participates in the medicare program. Lifetime Eyecare P.c.
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 1285836213.
Healthcare Provider's Profile
Full Name | Lifetime Eyecare P.c. |
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Type | Facility |
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Speciality | Durable Medical Equipment & Medical Supplies |
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Location | 597 Baldwin St, Jenison, 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: 1285836213
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 12/23/2009
Medicare PECOS Information:
- PECOS PAC ID: 7810963832
- Enrollment ID: O20040909000956
Medical Identifiers
Medical identifiers for Lifetime Eyecare P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285836213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4901002394 (Michigan) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lifetime Eyecare P.c. acts as a billing entity for following providers:
Provider Name | Allen R Smith |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1255369138 PECOS PAC ID: 2062440993 Enrollment ID: I20050801000879 |
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Provider Name | Nicole Marie Bennett Gdowski |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1508154246 PECOS PAC ID: 6901076348 Enrollment ID: I20110823000442 |
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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. Lifetime Eyecare P.c. 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 |
Lifetime Eyecare P.c. 597 Baldwin St, Jenison, MI 49428-7994 Ph: (616) 457-0760 | Lifetime Eyecare P.c. 597 Baldwin St, Jenison, MI 49428-7994 Ph: (616) 457-0760 |
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