Opticana Ny is a medicare enrolled "Technician/technologist - Optician" provider in New York, New York. Their current practice location is
4526 Broadway, New York, New York. You can reach out to their office (for appointments etc.) via phone at
(212) 304-3585.
Opticana Ny is licensed to practice in New York (license number 007305-1) and it also participates in the medicare program. Opticana Ny
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 1528116282.
Healthcare Provider's Profile
| Full Name | Opticana Ny |
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| Type | Facility |
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| Speciality | Technician/technologist - Optician |
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| Location | 4526 Broadway, New York, New York |
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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: 1528116282
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 2466529680
- Enrollment ID: O20080930000115
Medical Identifiers
Medical identifiers for Opticana Ny such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528116282 | NPI | - | NPPES |
| 02826259 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TUV 006977 (New York) | Primary |
| 156FX1800X | Technician/technologist - Optician | 007305-1 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Opticana Ny acts as a billing entity for following providers:
| Provider Name | Yelena Kagan |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1427287440
PECOS PAC ID: 1759436322
Enrollment ID: I20090903000097 |
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| Provider Name | Yung Han Chen |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1629333034
PECOS PAC ID: 5496901076
Enrollment ID: I20150417000205 |
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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. Opticana Ny 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 |
|---|
Opticana Ny
4526 Broadway,
New York, NY 10040-2404
Ph: (212) 304-3585 | Opticana Ny
4526 Broadway,
New York, NY 10040-2404
Ph: (212) 304-3585 |
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