Vineyard Eye Care Llc is a medicare enrolled "Optometrist" provider in Vineyard, Utah. Their current practice location is
691 E 400 N Ste 220, Vineyard, Utah. You can reach out to their office (for appointments etc.) via phone at
(801) 717-5655.
Vineyard Eye Care Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Vineyard Eye Care 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 1760258552.
Healthcare Provider's Profile
| Full Name | Vineyard Eye Care Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 691 E 400 N Ste 220, Vineyard, Utah |
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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: 1760258552
- Provider Enumeration Date: 12/01/2023
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628416724
- Enrollment ID: O20240409003072
Medical Identifiers
Medical identifiers for Vineyard Eye Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760258552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (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.
Vineyard Eye Care Llc acts as a billing entity for following providers:
| Provider Name | Daxton Aaron Hawks |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1821663675
PECOS PAC ID: 3678973492
Enrollment ID: I20210616002035 |
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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. Vineyard Eye Care 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 |
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Vineyard Eye Care Llc
691 E 400 N Ste 220,
Vineyard, UT 84059-7510
Ph: (801) 754-6955 | Vineyard Eye Care Llc
691 E 400 N Ste 220,
Vineyard, UT 84059-7510
Ph: (801) 717-5655 |
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