Optom Spot Pc is a medicare enrolled "Optometrist" provider in South St Paul, Minnesota. Their current practice location is
903 20th Ave N, South St Paul, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(612) 338-7551.
Optom Spot Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Optom Spot Pc
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 1548028699.
Healthcare Provider's Profile
Full Name | Optom Spot Pc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 903 20th Ave N, South St Paul, Minnesota |
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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: 1548028699
- Provider Enumeration Date: 03/12/2024
- Last Update Date: 03/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466893508
- Enrollment ID: O20240507003670
Medical Identifiers
Medical identifiers for Optom Spot Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548028699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (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.
Optom Spot Pc acts as a billing entity for following providers:
Provider Name | Shikha H Mehta |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1205396835 PECOS PAC ID: 2668892969 Enrollment ID: I20210224001768 |
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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. Optom Spot Pc 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 |
Optom Spot Pc 903 20th Ave N, South St Paul, MN 55075-1311 Ph: (612) 338-7551 | Optom Spot Pc 903 20th Ave N, South St Paul, MN 55075-1311 Ph: (612) 338-7551 |
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