The Spectacle Family Eye Care is a medicare enrolled "Optometrist" provider in Petersburg, West Virginia. Their current practice location is
28 Virginia Ave, Petersburg, West Virginia. You can reach out to their office (for appointments etc.) via phone at
(304) 642-4490.
The Spectacle Family Eye Care is licensed to practice in West Virginia (license number 984-IOD) and it also participates in the medicare program. The Spectacle Family 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 1720525322.
Healthcare Provider's Profile
| Full Name | The Spectacle Family Eye Care |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 28 Virginia Ave, Petersburg, West Virginia |
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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: 1720525322
- Provider Enumeration Date: 01/21/2017
- Last Update Date: 06/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325315344
- Enrollment ID: O20170523002218
Medical Identifiers
Medical identifiers for The Spectacle Family Eye Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720525322 | NPI | - | NPPES |
| 3102000000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 984-IOD (West Virginia) | 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 Spectacle Family Eye Care acts as a billing entity for following providers:
| Provider Name | Cheryl L Bennett |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1245303213
PECOS PAC ID: 1759277429
Enrollment ID: I20040227000673 |
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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. The Spectacle Family 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 |
|---|
The Spectacle Family Eye Care
28 Virginia Ave,
Petersburg, WV 26847-1740
Ph: (681) 892-0393 | The Spectacle Family Eye Care
28 Virginia Ave,
Petersburg, WV 26847-1740
Ph: (304) 642-4490 |
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