Miami Lakes Eye Care Center Pa is a medicare enrolled "Ophthalmology" provider in Miami Lakes, Florida. Their current practice location is
15600 Nw 67th Ave, 210, Miami Lakes, Florida. You can reach out to their office (for appointments etc.) via phone at
(305) 825-2020.
Miami Lakes Eye Care Center Pa is licensed to practice in Florida (license number ME0047681) and it also participates in the medicare program. Miami Lakes Eye Care Center Pa
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 1497772685.
Healthcare Provider's Profile
| Full Name | Miami Lakes Eye Care Center Pa |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 15600 Nw 67th Ave, Miami Lakes, Florida |
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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: 1497772685
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 09/14/2011
Medicare PECOS Information:
- PECOS PAC ID: 8527043397
- Enrollment ID: O20040624000314
Medical Identifiers
Medical identifiers for Miami Lakes Eye Care Center Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497772685 | NPI | - | NPPES |
| 057288800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPC002421 (Florida) | Secondary |
| 152W00000X | Optometrist | OPC004209 (Florida) | Secondary |
| 207W00000X | Ophthalmology | ME0047462 (Florida) | Secondary |
| 207W00000X | Ophthalmology | ME0047681 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Miami Lakes Eye Care Center Pa acts as a billing entity for following providers:
| Provider Name | Marco A Fabrega |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1629009675
PECOS PAC ID: 0547168601
Enrollment ID: I20031229000030 |
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| Provider Name | Adalberto B Acuna |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1760409775
PECOS PAC ID: 8921084062
Enrollment ID: I20040628001657 |
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| Provider Name | Joseph Trentacoste |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1821018979
PECOS PAC ID: 7113902990
Enrollment ID: I20040628001659 |
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| Provider Name | William Zambrano |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1619997764
PECOS PAC ID: 6305821182
Enrollment ID: I20040628001664 |
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| Provider Name | William Zambrano |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1841614872
PECOS PAC ID: 9234358516
Enrollment ID: I20140918001560 |
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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. Miami Lakes Eye Care Center Pa 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 |
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Miami Lakes Eye Care Center Pa
15600 Nw 67th Ave, 210,
Miami Lakes, FL 33014-2174
Ph: (305) 825-2020 | Miami Lakes Eye Care Center Pa
15600 Nw 67th Ave, 210,
Miami Lakes, FL 33014-2174
Ph: (305) 825-2020 |
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