Loogootee Eye Center Pc is a medicare enrolled "Optometrist" provider in Loogootee, Indiana. Their current practice location is
109 W Main St, Loogootee, Indiana. You can reach out to their office (for appointments etc.) via phone at
(260) 415-0267.
Loogootee Eye Center Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Loogootee Eye Center 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 1225621071.
Healthcare Provider's Profile
Full Name | Loogootee Eye Center Pc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 109 W Main St, Loogootee, Indiana |
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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: 1225621071
- Provider Enumeration Date: 02/12/2021
- Last Update Date: 02/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416366216
- Enrollment ID: O20210507000477
Medical Identifiers
Medical identifiers for Loogootee Eye Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225621071 | NPI | - | NPPES |
200069410 | Medicaid | IN | |
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.
Loogootee Eye Center Pc acts as a billing entity for following providers:
Provider Name | Michael Alvarez |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1326047820 PECOS PAC ID: 0648232496 Enrollment ID: I20041104000659 |
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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. Loogootee Eye Center 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 |
Loogootee Eye Center Pc 403 Walker St, Loogootee, IN 47553-1424 Ph: (260) 415-0267 | Loogootee Eye Center Pc 109 W Main St, Loogootee, IN 47553-1506 Ph: (260) 415-0267 |
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