Texas Elite Eye Care Pllc is a medicare enrolled "Clinic/center" provider in Fort Worth, Texas. Their current practice location is
1115 Green Oaks Road, Fort Worth, Texas. You can reach out to their office (for appointments etc.) via phone at
(210) 668-2455.
Texas Elite Eye Care Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Texas Elite Eye Care Pllc
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 1952056756.
Healthcare Provider's Profile
Full Name | Texas Elite Eye Care Pllc |
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Type | Facility |
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Speciality | Clinic/center |
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Location | 1115 Green Oaks Road, Fort Worth, Texas |
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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: 1952056756
- Provider Enumeration Date: 02/21/2022
- Last Update Date: 11/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254702624
- Enrollment ID: O20240129003186
Medical Identifiers
Medical identifiers for Texas Elite Eye Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952056756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (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.
Texas Elite Eye Care Pllc acts as a billing entity for following providers:
Provider Name | Eddy Sidra |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1437792876 PECOS PAC ID: 3274904644 Enrollment ID: I20240129003481 |
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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. Texas Elite Eye Care Pllc 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 |
Texas Elite Eye Care Pllc 1115 Green Oaks Road, Fort Worth, TX 76116 Ph: (817) 835-7551 | Texas Elite Eye Care Pllc 1115 Green Oaks Road, Fort Worth, TX 76116 Ph: (210) 668-2455 |
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