Sandrock Vision, Llc is a medicare enrolled "Optometrist" provider in Lusk, Wyoming. Their current practice location is
802 S. Main St., Lusk, Wyoming. You can reach out to their office (for appointments etc.) via phone at
(307) 340-0700.
Sandrock Vision, Llc is licensed to practice in Wyoming (license number 317T) and it also participates in the medicare program. Sandrock Vision, 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 1528218260.
Healthcare Provider's Profile
| Full Name | Sandrock Vision, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 802 S. Main St., Lusk, Wyoming |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1528218260
- Provider Enumeration Date: 09/30/2008
- Last Update Date: 09/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 3072681246
- Enrollment ID: O20081001000769
Medical Identifiers
Medical identifiers for Sandrock Vision, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528218260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 317T (Wyoming) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sandrock Vision, Llc acts as a billing entity for following providers:
| Provider Name | Carla D Shoults |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1164602371
PECOS PAC ID: 6507934767
Enrollment ID: I20081001000611 |
|---|
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. Sandrock Vision, 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 |
|---|
Sandrock Vision, Llc
3107 Goldenrod Ave,
Gillette, WY 82716-2287
Ph: (307) 340-0700 | Sandrock Vision, Llc
802 S. Main St.,
Lusk, WY 82225-0000
Ph: (307) 340-0700 |
Reviews and Comments