The Eye Center Of Fort Wayne, Llc is a medicare enrolled "Ophthalmology" provider in Fort Wayne, Indiana. Their current practice location is
321 E Wayne St, Fort Wayne, Indiana. You can reach out to their office (for appointments etc.) via phone at
(260) 424-5656.
The Eye Center Of Fort Wayne, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. The Eye Center Of Fort Wayne, Llc
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 1174858112.
Healthcare Provider's Profile
| Full Name | The Eye Center Of Fort Wayne, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 321 E Wayne St, Fort Wayne, Indiana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1174858112
- Provider Enumeration Date: 10/08/2009
- Last Update Date: 02/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 9739222910
- Enrollment ID: O20100210000565
Medical Identifiers
Medical identifiers for The Eye Center Of Fort Wayne, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174858112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (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.
The Eye Center Of Fort Wayne, Llc acts as a billing entity for following providers:
| Provider Name | Padma P Ponugoti |
|---|
| Provider Type | Practitioner - Ophthalmology |
|---|
| Provider Identifiers | NPI Number: 1952419004
PECOS PAC ID: 1355305343
Enrollment ID: I20041118000916 |
|---|
| Provider Name | John R Parent |
|---|
| Provider Type | Practitioner - Ophthalmology |
|---|
| Provider Identifiers | NPI Number: 1275545873
PECOS PAC ID: 6800982497
Enrollment ID: I20071011000685 |
|---|
| Provider Name | James E French |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1639163710
PECOS PAC ID: 5395831705
Enrollment ID: I20071017000265 |
|---|
| Provider Name | Paul A Gill |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1447262076
PECOS PAC ID: 3274629688
Enrollment ID: I20071017000280 |
|---|
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. The Eye Center Of Fort Wayne, Llc 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 |
|---|
The Eye Center Of Fort Wayne, Llc
321 E Wayne St,
Fort Wayne, IN 46802-2713
Ph: (260) 424-5656 | The Eye Center Of Fort Wayne, Llc
321 E Wayne St,
Fort Wayne, IN 46802-2713
Ph: (260) 424-5656 |
Reviews and Comments