North Lake Eyecare Optometry is a medicare enrolled "Optometrist" provider in Tahoe City, California. Their current practice location is
1225 N Lake Blvd, Tahoe City, California. You can reach out to their office (for appointments etc.) via phone at
(530) 583-5004.
North Lake Eyecare Optometry is licensed to practice in California (license number 9655T) and it also participates in the medicare program. North Lake Eyecare Optometry
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 1447580360.
Healthcare Provider's Profile
| Full Name | North Lake Eyecare Optometry |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1225 N Lake Blvd, Tahoe City, California |
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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: 1447580360
- Provider Enumeration Date: 12/29/2009
- Last Update Date: 03/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 0941424246
- Enrollment ID: O20140606000298
Medical Identifiers
Medical identifiers for North Lake Eyecare Optometry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447580360 | NPI | - | NPPES |
| GSD001010 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 9655T (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
North Lake Eyecare Optometry acts as a billing entity for following providers:
| Provider Name | Margaret D Raulino |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1902862212
PECOS PAC ID: 4082741780
Enrollment ID: I20100429000494 |
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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. North Lake Eyecare Optometry 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 |
|---|
North Lake Eyecare Optometry
Po Box 7170,
Tahoe City, CA 96145-7170
Ph: (530) 583-5004 | North Lake Eyecare Optometry
1225 N Lake Blvd,
Tahoe City, CA 96145-7170
Ph: (530) 583-5004 |
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