Sulligent Eye Care is a medicare enrolled "Optometrist" provider in Sulligent, Alabama. Their current practice location is
55292 Hwy 17, Sulligent, Alabama. You can reach out to their office (for appointments etc.) via phone at
(205) 698-7020.
Sulligent Eye Care is licensed to practice in Alabama (license number S-C05-TA-838) and it also participates in the medicare program. Sulligent Eye Care
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 1255661070.
Healthcare Provider's Profile
Full Name | Sulligent Eye Care |
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Type | Facility |
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Speciality | Optometrist |
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Location | 55292 Hwy 17, Sulligent, Alabama |
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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: 1255661070
- Provider Enumeration Date: 12/29/2009
- Last Update Date: 10/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 5294861092
- Enrollment ID: O20100331000755
Medical Identifiers
Medical identifiers for Sulligent Eye Care such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255661070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | S-C05-TA-838 (Alabama) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sulligent Eye Care acts as a billing entity for following providers:
Provider Name | Angela D Rayburn |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1831423680 PECOS PAC ID: 9032245832 Enrollment ID: I20100331000744 |
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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. Sulligent Eye Care 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 |
Sulligent Eye Care Po Box 335, Sulligent, AL 35586-0335 Ph: (205) 698-7020 | Sulligent Eye Care 55292 Hwy 17, Sulligent, AL 35586 Ph: (205) 698-7020 |
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