Maiden Eye Clinic is a medicare enrolled "Optometrist" provider in Maiden, North Carolina. Their current practice location is
503 Island Ford Rd, Maiden, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(828) 428-9175.
Maiden Eye Clinic is licensed to practice in North Carolina (license number ) and it also participates in the medicare program. Maiden Eye Clinic
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 1578565305.
Healthcare Provider's Profile
| Full Name | Maiden Eye Clinic |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 503 Island Ford Rd, Maiden, North Carolina |
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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: 1578565305
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 05/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 1254244965
- Enrollment ID: O20031110000205
Medical Identifiers
Medical identifiers for Maiden Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578565305 | NPI | - | NPPES |
| 89013R0 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Maiden Eye Clinic acts as a billing entity for following providers:
| Provider Name | David J Kulesia |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1437151321
PECOS PAC ID: 5597678904
Enrollment ID: I20031111000702 |
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| Provider Name | Donald R Macqueen |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1740330539
PECOS PAC ID: 5395737928
Enrollment ID: I20040401001403 |
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| Provider Name | Matthew James Davis |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1659707230
PECOS PAC ID: 5193950905
Enrollment ID: I20131104000827 |
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| Provider Name | Hannah Glenn |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1033889787
PECOS PAC ID: 7012315278
Enrollment ID: I20211001003023 |
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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. Maiden Eye Clinic 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 |
|---|
Maiden Eye Clinic
Po Box 276,
Maiden, NC 28650-0276
Ph: (828) 428-9175 | Maiden Eye Clinic
503 Island Ford Rd,
Maiden, NC 28650-8741
Ph: (828) 428-9175 |
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