Lower Valley Vision Clinic Inc is a medicare enrolled "Optometrist" provider in Thayne, Wyoming. Their current practice location is
491 N Main St, Suite A, Thayne, Wyoming. You can reach out to their office (for appointments etc.) via phone at
(307) 883-4678.
Lower Valley Vision Clinic Inc is licensed to practice in Wyoming (license number 296T) and it also participates in the medicare program. Lower Valley Vision Clinic Inc
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 1336212158.
Healthcare Provider's Profile
| Full Name | Lower Valley Vision Clinic Inc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 491 N Main St, Thayne, Wyoming |
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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: 1336212158
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 03/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 2062430333
- Enrollment ID: O20051104000331
Medical Identifiers
Medical identifiers for Lower Valley Vision Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336212158 | NPI | - | NPPES |
| 121600700 | Medicaid | WY | |
| 313773 | Other | WY | BLUE CROSS BLUE SHIELD |
| 5646844 | Other | WY | CBSA |
| 285174 | Other | WY | ALTIUS HEALTH PLANS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 296T (Wyoming) | Primary |
| 332H00000X | Eyewear Supplier | 296T (Wyoming) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lower Valley Vision Clinic Inc acts as a billing entity for following providers:
| Provider Name | Luke D Brog |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1831262641
PECOS PAC ID: 7012935406
Enrollment ID: I20051103001024 |
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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. Lower Valley Vision Clinic Inc 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 |
|---|
Lower Valley Vision Clinic Inc
Po Box 800,
Thayne, WY 83127-0800
Ph: (307) 883-4678 | Lower Valley Vision Clinic Inc
491 N Main St, Suite A,
Thayne, WY 83127-9768
Ph: (307) 883-4678 |
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