Optical Boutique Llc is a medicare enrolled "Technician/technologist - Optician" provider in New Brunswick, New Jersey. Their current practice location is
1 Spring St, Unit 101, New Brunswick, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(732) 246-6895.
Optical Boutique Llc is licensed to practice in New Jersey (license number 31TD00317100) and it also participates in the medicare program. Optical Boutique Llc
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 1033371331.
Healthcare Provider's Profile
| Full Name | Optical Boutique Llc |
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| Type | Facility |
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| Speciality | Technician/technologist - Optician |
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| Location | 1 Spring St, New Brunswick, New Jersey |
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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: 1033371331
- Provider Enumeration Date: 06/27/2008
- Last Update Date: 02/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 9537125638
- Enrollment ID: O20041209000295
Medical Identifiers
Medical identifiers for Optical Boutique Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033371331 | NPI | - | NPPES |
| 0165441 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 270A00552600 (New Jersey) | Secondary |
| 156FX1800X | Technician/technologist - Optician | 31TD00317100 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Optical Boutique Llc acts as a billing entity for following providers:
| Provider Name | Drasti Makwana |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1750723185
PECOS PAC ID: 6901033240
Enrollment ID: I20140310000696 |
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| Provider Name | Huishi Wu |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1740686583
PECOS PAC ID: 2365765443
Enrollment ID: I20171213001861 |
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| Provider Name | Alexandra Steinberg |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1598105702
PECOS PAC ID: 6305148503
Enrollment ID: I20210604001648 |
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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. Optical Boutique Llc 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 |
|---|
Optical Boutique Llc
1 Spring Street, Unit 101,
New Brunswick, NJ 08901-2036
Ph: (732) 246-6895 | Optical Boutique Llc
1 Spring St, Unit 101,
New Brunswick, NJ 08901-2276
Ph: (732) 246-6895 |
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