Lumen Vision Pc in Fargo, ND - Medicare Optometrist Provider

Lumen Vision Pc is a medicare enrolled "Optometrist" provider in Fargo, North Dakota. Their current practice location is 5120 Prosperity Way S Ste 114, Fargo, North Dakota. You can reach out to their office (for appointments etc.) via phone at (701) 404-9096.

Lumen Vision Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lumen Vision 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 1447879663.

Contact Information

	Lumen Vision Pc
	5120 Prosperity Way S Ste 114, Fargo, ND 58104-7568
	(701) 404-9096
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lumen Vision Pc
Type	Facility
Speciality	Optometrist
Location	5120 Prosperity Way S Ste 114, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447879663
Provider Enumeration Date: 04/09/2020
Last Update Date: 06/02/2021

Medicare PECOS Information:

PECOS PAC ID: 0042641532
Enrollment ID: O20200518001293

Medical Identifiers

Medical identifiers for Lumen Vision Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447879663	NPI	-	NPPES

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. Lumen Vision Pc acts as a billing entity for following providers:

Provider Name	Ryan Thomas Capouch
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1538650726 PECOS PAC ID: 3779830351 Enrollment ID: I20180727002694

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. Lumen Vision 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
Lumen Vision Pc 6844 17th St S, Fargo, ND 58104-7857 Ph: (701) 404-9096	Lumen Vision Pc 5120 Prosperity Way S Ste 114, Fargo, ND 58104-7568 Ph: (701) 404-9096

Reviews and Comments

Optometrist in Fargo, ND

Vivid Vision Care, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3265 45th St S Ste 104, Fargo, ND 58104 Phone: 701-741-2951
Barbra Brigitte Brookshire, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3902 13th Ave S, Fargo, ND 58103 Phone: 701-282-5880 Fax: 701-282-8414
Todd L Metzger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906
Andrew Viet Pham, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1801 45th St S, Fargo, ND 58103 Phone: 701-492-3937
Blaine G Zieman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-3600 Fax: 701-234-3672
Daniel John Levin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 19th Ave N Ste L&m, Fargo, ND 58102 Phone: 701-365-1150
Dr. Matthew T Sanders, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4344 20th Ave S, # 1, Fargo, ND 58103 Phone: 701-293-8242

Lumen Vision Pc - Medicare Optometrist in Fargo, ND