Olympia Eye Clinic Pllc is a medicare enrolled "Clinic/center" provider in Olympia, Washington. Their current practice location is
215 Lilly Rd Ne, Olympia, Washington. You can reach out to their office (for appointments etc.) via phone at
(360) 456-4800.
Olympia Eye Clinic Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Olympia Eye Clinic Pllc
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 1194771576.
Healthcare Provider's Profile
Full Name | Olympia Eye Clinic Pllc |
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Type | Facility |
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Speciality | Clinic/center |
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Location | 215 Lilly Rd Ne, Olympia, Washington |
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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: 1194771576
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 02/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 0446148654
- Enrollment ID: O20040309000856
Medical Identifiers
Medical identifiers for Olympia Eye Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194771576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (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.
Olympia Eye Clinic Pllc acts as a billing entity for following providers:
Provider Name | Rodger D Bodoia |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1073676847 PECOS PAC ID: 6507826880 Enrollment ID: I20051223000237 |
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Provider Name | Anastasia L Porter |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1922164607 PECOS PAC ID: 0345262952 Enrollment ID: I20120131000875 |
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Provider Name | Patrick S Kelley |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1508853128 PECOS PAC ID: 6709850894 Enrollment ID: I20210311001110 |
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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. Olympia Eye Clinic Pllc 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 |
Olympia Eye Clinic Pllc 215 Lilly Rd Ne, Olympia, WA 98506-5030 Ph: (360) 456-4800 | Olympia Eye Clinic Pllc 215 Lilly Rd Ne, Olympia, WA 98506-5030 Ph: (360) 456-4800 |
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