<unavail> in Phoenix, AZ - Medicare Optometrist Provider

is a medicare enrolled "Optometrist" provider in Phoenix, Arizona. Their current practice location is 11230 N Tatum Blvd Ste 100, Phoenix, Arizona. You can reach out to their office (for appointments etc.) via phone at (602) 263-0850.

is licensed to practice in Arizona (license number 1910) and it also participates in the medicare program. 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 1023497146.

Contact Information


	11230 N Tatum Blvd Ste 100, Phoenix, AZ 85028-1641
	(602) 263-0850
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Optometrist
Location	11230 N Tatum Blvd Ste 100, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023497146
Provider Enumeration Date: 05/21/2015
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3375990161
Enrollment ID: O20231116001088

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023497146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1910 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Larry D Holle
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1952413924 PECOS PAC ID: 4880655513 Enrollment ID: I20041026000106

Provider Name	Bessie Campouris
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1306286273 PECOS PAC ID: 2961646187 Enrollment ID: I20130910000168

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. 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
11230 N Tatum Blvd Ste 100, Phoenix, AZ 85028-1641 Ph: () -	11230 N Tatum Blvd Ste 100, Phoenix, AZ 85028-1641 Ph: (602) 263-0850

Reviews and Comments

Optometrist in Phoenix, AZ

Optometrist Medicare: Medicare Enrolled Practice Location: 14435 N 7th St, Ste 104, Phoenix, AZ 85022 Phone: 602-993-2727 Fax: 602-449-0681
Dr. Karly Baier, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 W Clarendon Ave Ste 150, Phoenix, AZ 85013 Phone: 602-283-4503 Fax: 844-965-9564
Dr. Aleta Belinda Gong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16020 N 35th Ave, Phoenix, AZ 85053 Phone: 602-547-3255
Optometrist Medicare: Medicare Enrolled Practice Location: 112 W Mcdowell Rd, Phoenix, AZ 85003 Phone: 602-254-3169 Fax: 602-256-7112
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9617 N Metro Pkwy W, 1000, Phoenix, AZ 85051 Phone: 602-678-4395 Fax: 602-678-4396
Dr. Lois Filipelli, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Abc Children's Eye Specialists, 1010 E Mcdowell Rd, Ste 301, Phoenix, AZ 85006 Phone: 602-222-2234
Dr. Peter Rosenberg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3415 W Glendale Ave, Building B, Suite 11, Phoenix, AZ 85051 Phone: 602-973-5868 Fax: 602-973-6076

- Medicare Optometrist in Phoenix, AZ