Vance Thompson Vision Ne, Prof Llc is a medicare enrolled "Ophthalmology" provider in Omaha, Nebraska. Their current practice location is
4909 S 118th St, Omaha, Nebraska. You can reach out to their office (for appointments etc.) via phone at
(402) 506-9970.
Vance Thompson Vision Ne, Prof Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Vance Thompson Vision Ne, Prof 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 1457843328.
Healthcare Provider's Profile
| Full Name | Vance Thompson Vision Ne, Prof Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 4909 S 118th St, Omaha, Nebraska |
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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: 1457843328
- Provider Enumeration Date: 06/05/2018
- Last Update Date: 05/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618220849
- Enrollment ID: O20181105002167
Medical Identifiers
Medical identifiers for Vance Thompson Vision Ne, Prof Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457843328 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 30828 (Nebraska) | 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.
Vance Thompson Vision Ne, Prof Llc acts as a billing entity for following providers:
| Provider Name | John Goertz |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1699709006
PECOS PAC ID: 5395766471
Enrollment ID: I20111129000158 |
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| Provider Name | Kristen Rae Walton |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1871115170
PECOS PAC ID: 7315378833
Enrollment ID: I20210803002103 |
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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. Vance Thompson Vision Ne, Prof 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 |
|---|
Vance Thompson Vision Ne, Prof Llc
3101 W 57th St,
Sioux Falls, SD 57108-3162
Ph: (605) 361-3937 | Vance Thompson Vision Ne, Prof Llc
4909 S 118th St,
Omaha, NE 68137-2213
Ph: (402) 506-9970 |
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