San Bernardino Eye Specialists is a medicare enrolled "Ophthalmology" provider in San Bernardino, California. Their current practice location is
1909 N Waterman Ave Ste 3, San Bernardino, California. You can reach out to their office (for appointments etc.) via phone at
(908) 882-8829.
San Bernardino Eye Specialists is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. San Bernardino Eye Specialists
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 1609437599.
Healthcare Provider's Profile
| Full Name | San Bernardino Eye Specialists |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1909 N Waterman Ave Ste 3, San Bernardino, California |
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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: 1609437599
- Provider Enumeration Date: 06/22/2019
- Last Update Date: 08/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 7214269646
- Enrollment ID: O20191104002280
Medical Identifiers
Medical identifiers for San Bernardino Eye Specialists such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609437599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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.
San Bernardino Eye Specialists acts as a billing entity for following providers:
| Provider Name | Gintien Huang |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1225325129
PECOS PAC ID: 1355568338
Enrollment ID: I20150501001826 |
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| Provider Name | Samantha Makpaiboonvatana |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1043703564
PECOS PAC ID: 6901148733
Enrollment ID: I20190716000784 |
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| Provider Name | Patricia Liang |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1912481961
PECOS PAC ID: 3072999473
Enrollment ID: I20221010000516 |
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| Provider Name | Jessica Hu |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1154043982
PECOS PAC ID: 1759745458
Enrollment ID: I20230913004377 |
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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. San Bernardino Eye Specialists 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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San Bernardino Eye Specialists
1909 N Waterman Ave Ste 3,
San Bernardino, CA 92404-4842
Ph: (908) 882-8829 | San Bernardino Eye Specialists
1909 N Waterman Ave Ste 3,
San Bernardino, CA 92404-4842
Ph: (908) 882-8829 |
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