Lisbon Vision Center, P.c. is a medicare enrolled "Optometrist" provider in Lisbon, North Dakota. Their current practice location is
17 11th Avenue West, Lisbon, North Dakota. You can reach out to their office (for appointments etc.) via phone at
(701) 683-5815.
Lisbon Vision Center, P.c. is licensed to practice in North Dakota (license number 638) and it also participates in the medicare program. Lisbon Vision Center, 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 1407896673.
Healthcare Provider's Profile
| Full Name | Lisbon Vision Center, P.c. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 17 11th Avenue West, Lisbon, North Dakota |
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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: 1407896673
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 10/08/2008
Medicare PECOS Information:
- PECOS PAC ID: 7315959020
- Enrollment ID: O20060621000165
Medical Identifiers
Medical identifiers for Lisbon Vision Center, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407896673 | NPI | - | NPPES |
| 60633 | Medicaid | ND | |
| 1407896673 | Other | ND | WCP WORKERS COMP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 638 (North Dakota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lisbon Vision Center, P.c. acts as a billing entity for following providers:
| Provider Name | Corey R Mairs |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1992775944
PECOS PAC ID: 9931121506
Enrollment ID: I20051222000680 |
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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. Lisbon Vision Center, 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 |
|---|
Lisbon Vision Center, P.c.
Po Box 916,
Lisbon, ND 58054-0916
Ph: (701) 683-5815 | Lisbon Vision Center, P.c.
17 11th Avenue West,
Lisbon, ND 58054-0916
Ph: (701) 683-5815 |
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