Rock Judisch Vision Clinic Pc is a medicare enrolled "Optometrist" provider in Lake City, Iowa. Their current practice location is
1341 W Main St, Lake City, Iowa. You can reach out to their office (for appointments etc.) via phone at
(712) 464-3136.
Rock Judisch Vision Clinic Pc is licensed to practice in Iowa (license number 02262) and it also participates in the medicare program. Rock Judisch Vision Clinic 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 1669521027.
Healthcare Provider's Profile
| Full Name | Rock Judisch Vision Clinic Pc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1341 W Main St, Lake City, Iowa |
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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: 1669521027
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658269253
- Enrollment ID: O20040305000787
Medical Identifiers
Medical identifiers for Rock Judisch Vision Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669521027 | NPI | - | NPPES |
| 0258194 | Medicaid | IA | |
| DA3268 | Other | | RR MEDICARE |
| 25819 | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 02262 (Iowa) | Primary |
| 152W00000X | Optometrist | 1862 (Iowa) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Rock Judisch Vision Clinic Pc acts as a billing entity for following providers:
| Provider Name | Jonathan Paul Judisch |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1285784280
PECOS PAC ID: 8426189754
Enrollment ID: I20100629000960 |
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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. Rock Judisch Vision Clinic 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 |
|---|
Rock Judisch Vision Clinic Pc
1341 W Main St, Po Box 124,
Lake City, IA 51449-0124
Ph: (712) 464-3136 | Rock Judisch Vision Clinic Pc
1341 W Main St,
Lake City, IA 51449-0124
Ph: (712) 464-3136 |
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