Rural Vision Alliance Llc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Oklahoma City, Oklahoma. Their current practice location is
4301 N Classen Blvd, Oklahoma City, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(405) 604-3408.
Rural Vision Alliance Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Rural Vision Alliance Llc
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 1386419877.
Healthcare Provider's Profile
| Full Name | Rural Vision Alliance Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 4301 N Classen Blvd, Oklahoma City, Oklahoma |
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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: 1386419877
- Provider Enumeration Date: 11/15/2023
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305288168
- Enrollment ID: O20240524000156
Medical Identifiers
Medical identifiers for Rural Vision Alliance Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386419877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152WL0500X | Optometrist - Low Vision Rehabilitation | (* (Not Available)) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | (* (Not Available)) | Secondary |
| 224ZL0004X | Occupational Therapy Assistant - Low Vision | (* (Not Available)) | Secondary |
| 2255R0406X | Specialist/technologist - Rehabilitation, Blind | (* (Not Available)) | Secondary |
| 225CA2400X | Rehabilitation Counselor - Assistive Technology Practitioner | (* (Not Available)) | Secondary |
| 225CX0006X | Rehabilitation Counselor - Orientation And Mobility Training Provider | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (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.
Rural Vision Alliance Llc acts as a billing entity for following providers:
| Provider Name | Neil M Horner |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1821076829
PECOS PAC ID: 6901135813
Enrollment ID: I20230905002705 |
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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. Rural Vision Alliance Llc 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 |
|---|
Rural Vision Alliance Llc
4301 N Classen Blvd,
Oklahoma City, OK 73118-5031
Ph: (405) 604-3408 | Rural Vision Alliance Llc
4301 N Classen Blvd,
Oklahoma City, OK 73118-5031
Ph: (405) 604-3408 |
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