Perrysburg Eye Center, Inc. is a medicare enrolled "Ophthalmology" provider in Perrysburg, Ohio. Their current practice location is
28370 Kensington Ln, Suite A, Perrysburg, Ohio. You can reach out to their office (for appointments etc.) via phone at
(419) 874-3125.
Perrysburg Eye Center, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Perrysburg Eye Center, Inc.
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 1366475139.
Healthcare Provider's Profile
| Full Name | Perrysburg Eye Center, Inc. |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 28370 Kensington Ln, Perrysburg, Ohio |
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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: 1366475139
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 09/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 2567483092
- Enrollment ID: O20051213000368
Medical Identifiers
Medical identifiers for Perrysburg Eye Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366475139 | NPI | - | NPPES |
| 2415265 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Perrysburg Eye Center, Inc. acts as a billing entity for following providers:
| Provider Name | Lisa L Nirode |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1528012077
PECOS PAC ID: 3779582531
Enrollment ID: I20061206000014 |
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| Provider Name | Reed T Roth |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1679576474
PECOS PAC ID: 6608918677
Enrollment ID: I20100129000044 |
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| Provider Name | Stephen Eric Clark |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1134122948
PECOS PAC ID: 7911928445
Enrollment ID: I20100820000035 |
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| Provider Name | Erica Leigh Smith |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1750956538
PECOS PAC ID: 6305224767
Enrollment ID: I20220526000901 |
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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. Perrysburg Eye Center, Inc. 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 |
|---|
Perrysburg Eye Center, Inc.
28370 Kensington Ln, Suite A,
Perrysburg, OH 43551-4163
Ph: (419) 874-3125 | Perrysburg Eye Center, Inc.
28370 Kensington Ln, Suite A,
Perrysburg, OH 43551-4163
Ph: (419) 874-3125 |
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