Optometry Group is a medicare enrolled "Optometrist" provider in Lakeland, Tennessee. Their current practice location is
2961 Canada Rd, Suite 104, Lakeland, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(901) 380-2020.
Optometry Group is licensed to practice in Tennessee (license number ODT 1585) and it also participates in the medicare program. Optometry Group
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 1104968338.
Healthcare Provider's Profile
| Full Name | Optometry Group |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 2961 Canada Rd, Lakeland, Tennessee |
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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: 1104968338
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 07/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 6406769736
- Enrollment ID: O20031111000861
Medical Identifiers
Medical identifiers for Optometry Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104968338 | NPI | - | NPPES |
| 3940102 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODT 1585 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Optometry Group acts as a billing entity for following providers:
| Provider Name | Barton L Powell |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1164572285
PECOS PAC ID: 4981517679
Enrollment ID: I20031110000114 |
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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. Optometry Group 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 |
|---|
Optometry Group
2961 Canada Rd, Suite 104,
Lakeland, TN 38002-4893
Ph: (901) 380-2020 | Optometry Group
2961 Canada Rd, Suite 104,
Lakeland, TN 38002-4893
Ph: (901) 380-2020 |
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