Telluride Vision is a medicare enrolled "Optometrist" provider in Telluride, Colorado. Their current practice location is
220 E Colorado Ave 210, Telluride, Colorado. You can reach out to their office (for appointments etc.) via phone at
(970) 708-4890.
Telluride Vision is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Telluride Vision
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 1083962781.
Healthcare Provider's Profile
| Full Name | Telluride Vision |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 220 E Colorado Ave 210, Telluride, Colorado |
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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: 1083962781
- Provider Enumeration Date: 08/28/2012
- Last Update Date: 04/23/2014
Medicare PECOS Information:
- PECOS PAC ID: 0143478057
- Enrollment ID: O20120919000155
Medical Identifiers
Medical identifiers for Telluride Vision such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083962781 | NPI | - | NPPES |
| 12002267 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (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.
Telluride Vision acts as a billing entity for following providers:
| Provider Name | Suzanne Mclean Hazen |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1770549370
PECOS PAC ID: 7618861444
Enrollment ID: I20120919000251 |
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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. Telluride Vision 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 |
|---|
Telluride Vision
Po Box 3110,
Telluride, CO 81435-3110
Ph: (970) 708-4890 | Telluride Vision
220 E Colorado Ave 210,
Telluride, CO 81435
Ph: (970) 708-4890 |
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