Pediatric Eyecare Of North Texas, Pllc is a medicare enrolled "Ophthalmology" provider in Irving, Texas. Their current practice location is
3200 N Macarthur Blvd Ste 200, Irving, Texas. You can reach out to their office (for appointments etc.) via phone at
(972) 258-7979.
Pediatric Eyecare Of North Texas, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pediatric Eyecare Of North Texas, Pllc
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 1629759089.
Healthcare Provider's Profile
| Full Name | Pediatric Eyecare Of North Texas, Pllc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 3200 N Macarthur Blvd Ste 200, Irving, Texas |
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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: 1629759089
- Provider Enumeration Date: 07/28/2023
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052754553
- Enrollment ID: O20240212004208
Medical Identifiers
Medical identifiers for Pediatric Eyecare Of North Texas, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629759089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pediatric Eyecare Of North Texas, Pllc acts as a billing entity for following providers:
| Provider Name | Everett Moody |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1154326726
PECOS PAC ID: 0345319802
Enrollment ID: I20100621000891 |
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| Provider Name | Mary C Walters |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1194750406
PECOS PAC ID: 1456528660
Enrollment ID: I20120111000315 |
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| Provider Name | Kartik S Kumar |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1699972364
PECOS PAC ID: 9931373651
Enrollment ID: I20130511000015 |
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| Provider Name | Anastasia A Alex |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1497109375
PECOS PAC ID: 7911293014
Enrollment ID: I20220908000043 |
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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. Pediatric Eyecare Of North Texas, Pllc 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 |
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Pediatric Eyecare Of North Texas, Pllc
3200 N Macarthur Blvd Ste 200,
Irving, TX 75062-4404
Ph: (972) 258-7979 | Pediatric Eyecare Of North Texas, Pllc
3200 N Macarthur Blvd Ste 200,
Irving, TX 75062-4404
Ph: (972) 258-7979 |
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