Vision Care Center Of Southeastern Ca An Optometric Corp. is a medicare enrolled "Optometrist" provider in Brawley, California. Their current practice location is
260 Main St, Brawley, California. You can reach out to their office (for appointments etc.) via phone at
(760) 351-2020.
Vision Care Center Of Southeastern Ca An Optometric Corp. is licensed to practice in California (license number 005636) and it also participates in the medicare program. Vision Care Center Of Southeastern Ca An Optometric Corp.
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 1548465222.
Healthcare Provider's Profile
| Full Name | Vision Care Center Of Southeastern Ca An Optometric Corp. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 260 Main St, Brawley, California |
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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: 1548465222
- Provider Enumeration Date: 06/20/2007
- Last Update Date: 02/11/2015
Medicare PECOS Information:
- PECOS PAC ID: 4082659289
- Enrollment ID: O20050627001435
Medical Identifiers
Medical identifiers for Vision Care Center Of Southeastern Ca An Optometric Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548465222 | NPI | - | NPPES |
| WY2550 | Other | CA | MEDICARE PROVIDER |
| 1548465222 | Medicaid | CA | |
| 1982760310 | Other | CA | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 005636 (California) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 005636 (California) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 005636 (California) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 005636 (California) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | 005636 (California) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 005636 (California) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Vision Care Center Of Southeastern Ca An Optometric Corp. acts as a billing entity for following providers:
| Provider Name | Donald L Barniske |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1982760310
PECOS PAC ID: 4981861424
Enrollment ID: I20120210000419 |
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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. Vision Care Center Of Southeastern Ca An Optometric Corp. 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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Vision Care Center Of Southeastern Ca An Optometric Corp.
Po Box 1071,
Brawley, CA 92227-1071
Ph: (760) 351-2020 | Vision Care Center Of Southeastern Ca An Optometric Corp.
260 Main St,
Brawley, CA 92227-2351
Ph: (760) 351-2020 |
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