Parkridge Vision Specialists, Pc is a medicare enrolled "Optometrist" provider in Lonetree, Colorado. Their current practice location is
9400 Station St, Suite 150, Lonetree, Colorado. You can reach out to their office (for appointments etc.) via phone at
(303) 925-0075.
Parkridge Vision Specialists, Pc is licensed to practice in Colorado (license number 2038) and it also participates in the medicare program. Parkridge Vision Specialists, 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 1326268921.
Healthcare Provider's Profile
| Full Name | Parkridge Vision Specialists, Pc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 9400 Station St, Lonetree, Colorado |
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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: 1326268921
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 09/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 4385692201
- Enrollment ID: O20050107000270
Medical Identifiers
Medical identifiers for Parkridge Vision Specialists, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326268921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2038 (Colorado) | Primary |
| 152W00000X | Optometrist | 2040 (Colorado) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 2038 (Colorado) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 2040 (Colorado) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 2038 (Colorado) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 2040 (Colorado) | Secondary |
| 152WS0006X | Optometrist - Sports Vision | 2038 (Colorado) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Parkridge Vision Specialists, Pc acts as a billing entity for following providers:
| Provider Name | Michelle L Sancho |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1093716425
PECOS PAC ID: 6709834252
Enrollment ID: I20050111000617 |
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| Provider Name | Jeffrey C Marlatt |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1902807332
PECOS PAC ID: 1557319472
Enrollment ID: I20050112000379 |
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| Provider Name | Carolyn Jane Smith |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1568574739
PECOS PAC ID: 8628101771
Enrollment ID: I20100727000435 |
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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. Parkridge Vision Specialists, 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 |
|---|
Parkridge Vision Specialists, Pc
9400 Station St, Suite 150,
Lonetree, CO 80124-6808
Ph: (303) 925-0075 | Parkridge Vision Specialists, Pc
9400 Station St, Suite 150,
Lonetree, CO 80124-6808
Ph: (303) 925-0075 |
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