Tuscola Sullivan Eyecare Clinics is a medicare enrolled "Optometrist" provider in Tuscola, Illinois. Their current practice location is
902 S Court St, Suite #1, Tuscola, Illinois. You can reach out to their office (for appointments etc.) via phone at
(217) 253-2220.
Tuscola Sullivan Eyecare Clinics is licensed to practice in Illinois (license number 047008823) and it also participates in the medicare program. Tuscola Sullivan Eyecare Clinics
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 1750619037.
Healthcare Provider's Profile
Full Name | Tuscola Sullivan Eyecare Clinics |
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Type | Facility |
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Speciality | Optometrist |
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Location | 902 S Court St, Tuscola, Illinois |
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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: 1750619037
- Provider Enumeration Date: 11/25/2009
- Last Update Date: 09/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 2769616069
- Enrollment ID: O20130927000310
Medical Identifiers
Medical identifiers for Tuscola Sullivan Eyecare Clinics such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750619037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 047008823 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Tuscola Sullivan Eyecare Clinics acts as a billing entity for following providers:
Provider Name | Jamison T Boyd |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1326008137 PECOS PAC ID: 2365450319 Enrollment ID: I20060404000492 |
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Provider Name | Robert James Blumthal |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1578568077 PECOS PAC ID: 4981728706 Enrollment ID: I20100901000084 |
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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. Tuscola Sullivan Eyecare Clinics 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 |
Tuscola Sullivan Eyecare Clinics 902 S Court St, Suite #1, Tuscola, IL 61953-2000 Ph: (217) 253-2220 | Tuscola Sullivan Eyecare Clinics 902 S Court St, Suite #1, Tuscola, IL 61953-2000 Ph: (217) 253-2220 |
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