Pembroke Optometric Clinic Pa is a medicare enrolled "Optometrist" provider in Pembroke, North Carolina. Their current practice location is
204 Union Chapel Rd, Pembroke, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(910) 521-9744.
Pembroke Optometric Clinic Pa is licensed to practice in North Carolina (license number 1318) and it also participates in the medicare program. Pembroke Optometric Clinic Pa
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 1942284880.
Healthcare Provider's Profile
Full Name | Pembroke Optometric Clinic Pa |
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Type | Facility |
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Speciality | Optometrist |
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Location | 204 Union Chapel Rd, Pembroke, North Carolina |
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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: 1942284880
- Provider Enumeration Date: 12/05/2005
- Last Update Date: 02/12/2008
Medicare PECOS Information:
- PECOS PAC ID: 3173428299
- Enrollment ID: O20040717000345
Medical Identifiers
Medical identifiers for Pembroke Optometric Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942284880 | NPI | - | NPPES |
8909451 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1318 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pembroke Optometric Clinic Pa acts as a billing entity for following providers:
Provider Name | Sandra K Locklear |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1760590186 PECOS PAC ID: 8527047091 Enrollment ID: I20040720001629 |
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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. Pembroke Optometric Clinic Pa 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 |
Pembroke Optometric Clinic Pa Po Box 2109, Pembroke, NC 28372-2109 Ph: (910) 521-9744 | Pembroke Optometric Clinic Pa 204 Union Chapel Rd, Pembroke, NC 28372-2109 Ph: (910) 521-9744 |
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