South East Eye Vision Source is a medicare enrolled "Optometrist" provider in Sharon, Massachusetts. Their current practice location is
71 Pond St, Sharon, Massachusetts. You can reach out to their office (for appointments etc.) via phone at
(178) 784-4733.
South East Eye Vision Source is licensed to practice in Massachusetts (license number MA3834) and it also participates in the medicare program. South East Eye Vision Source
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 1720225162.
Healthcare Provider's Profile
Full Name | South East Eye Vision Source |
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Type | Facility |
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Speciality | Optometrist |
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Location | 71 Pond St, Sharon, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720225162
- Provider Enumeration Date: 01/07/2009
- Last Update Date: 02/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 2668536889
- Enrollment ID: O20090202000530
Medical Identifiers
Medical identifiers for South East Eye Vision Source such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720225162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | MA3834 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
South East Eye Vision Source acts as a billing entity for following providers:
Provider Name | Miri Park |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1285722447 PECOS PAC ID: 2961402029 Enrollment ID: I20070115000091 |
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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. South East Eye Vision Source 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 |
South East Eye Vision Source 71 Pond St, Sharon, MA 02067-2042 Ph: (178) 784-4733 | South East Eye Vision Source 71 Pond St, Sharon, MA 02067-2042 Ph: (178) 784-4733 |
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