Northridge Eye Care, A Professional Corporation is a medicare enrolled "Ophthalmology" provider in Red Bluff, California. Their current practice location is
530 Main St, Red Bluff, California. You can reach out to their office (for appointments etc.) via phone at
(530) 529-1750.
Northridge Eye Care, A Professional Corporation is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northridge Eye Care, A Professional Corporation
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 1154759785.
Healthcare Provider's Profile
Full Name | Northridge Eye Care, A Professional Corporation |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 530 Main St, Red Bluff, California |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154759785
- Provider Enumeration Date: 10/16/2013
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911138789
- Enrollment ID: O20140319001217
Medical Identifiers
Medical identifiers for Northridge Eye Care, A Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154759785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (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.
Northridge Eye Care, A Professional Corporation acts as a billing entity for following providers:
Provider Name | Stacy C Cullum |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1396803854 PECOS PAC ID: 9436056777 Enrollment ID: I20031216000222 |
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Provider Name | Brian O Haugen |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1225244411 PECOS PAC ID: 3072646678 Enrollment ID: I20100803000957 |
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Provider Name | Daniel M King |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1841226073 PECOS PAC ID: 1951584283 Enrollment ID: I20110324000396 |
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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. Northridge Eye Care, A Professional Corporation 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 |
Northridge Eye Care, A Professional Corporation 530 Main St, Red Bluff, CA 96080-3438 Ph: (530) 529-1750 | Northridge Eye Care, A Professional Corporation 530 Main St, Red Bluff, CA 96080-3438 Ph: (530) 529-1750 |
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