Summit Vision Care, Inc. is a medicare enrolled "Optometrist" provider in Islip, New York. Their current practice location is
150 Islip Ave, Suite 12, Islip, New York. You can reach out to their office (for appointments etc.) via phone at
(631) 581-5100.
Summit Vision Care, Inc. is licensed to practice in New York (license number TUV004284) and it also participates in the medicare program. Summit Vision Care, Inc.
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 1659559862.
Healthcare Provider's Profile
| Full Name | Summit Vision Care, Inc. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 150 Islip Ave, Islip, New York |
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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: 1659559862
- Provider Enumeration Date: 02/11/2008
- Last Update Date: 02/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 9133247844
- Enrollment ID: O20110718000321
Medical Identifiers
Medical identifiers for Summit Vision Care, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659559862 | NPI | - | NPPES |
| 00887274 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TUV004284 (New York) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Summit Vision Care, Inc. acts as a billing entity for following providers:
| Provider Name | Lawrence Forur |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1023081247
PECOS PAC ID: 4587787619
Enrollment ID: I20110718000385 |
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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. Summit Vision Care, Inc. 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 |
|---|
Summit Vision Care, Inc.
150 Islip Ave, Suite 12,
Islip, NY 11751-3222
Ph: (631) 581-5100 | Summit Vision Care, Inc.
150 Islip Ave, Suite 12,
Islip, NY 11751-3222
Ph: (631) 581-5100 |
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