Tri City Optometric is a medicare enrolled "Optometrist" provider in Rutherfordton, North Carolina. Their current practice location is
337 N Main St, Rutherfordton, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(828) 288-8662.
Tri City Optometric is licensed to practice in North Carolina (license number 1807) and it also participates in the medicare program. Tri City Optometric
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 1003966789.
Healthcare Provider's Profile
| Full Name | Tri City Optometric |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 337 N Main St, Rutherfordton, North Carolina |
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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: 1003966789
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 07/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 4587612130
- Enrollment ID: O20050110001117
Medical Identifiers
Medical identifiers for Tri City Optometric such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003966789 | NPI | - | NPPES |
| 89016R5 | Medicaid | NC | |
| 24491 | Other | NC | OPTICARE |
| 89012F0 | Medicaid | NC | |
| 012F0 | Other | NC | BCBS GROUP |
| 0313616 | Other | NC | CIGNA HEALTHCARE |
| 71877 | Other | NC | MEDCOST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1807 (North Carolina) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 1807 (North Carolina) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 1807 (North Carolina) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Tri City Optometric acts as a billing entity for following providers:
| Provider Name | Troy N Tevis |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1679609382
PECOS PAC ID: 9032002514
Enrollment ID: I20040206000871 |
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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. Tri City Optometric 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 |
|---|
Tri City Optometric
337 N Main St,
Rutherfordton, NC 28139-2505
Ph: (828) 288-8662 | Tri City Optometric
337 N Main St,
Rutherfordton, NC 28139-2505
Ph: (828) 288-8662 |
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