Vision Site is a medicare enrolled "Optometrist" provider in Emory, Texas. Their current practice location is
886 E Lennon Dr Ste 102, Emory, Texas. You can reach out to their office (for appointments etc.) via phone at
(903) 474-9090.
Vision Site is licensed to practice in Texas (license number 7878T) and it also participates in the medicare program. Vision Site
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 1619264090.
Healthcare Provider's Profile
| Full Name | Vision Site |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 886 E Lennon Dr Ste 102, Emory, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1619264090
- Provider Enumeration Date: 07/06/2011
- Last Update Date: 07/06/2011
Medicare PECOS Information:
- PECOS PAC ID: 3577733690
- Enrollment ID: O20110829000531
Medical Identifiers
Medical identifiers for Vision Site such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619264090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 7878T (Texas) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 7878T (Texas) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 7878T (Texas) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 7878T (Texas) | Secondary |
| 152WS0006X | Optometrist - Sports Vision | 7878T (Texas) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | 7878T (Texas) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 7878T (Texas) | 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 Site acts as a billing entity for following providers:
| Provider Name | Eric Lee Ketchum |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1275820649
PECOS PAC ID: 4486824505
Enrollment ID: I20110829000545 |
|---|
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 Site 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 |
|---|
Vision Site
886 E Lennon Dr Ste 102,
Emory, TX 75440-3216
Ph: (903) 474-9090 | Vision Site
886 E Lennon Dr Ste 102,
Emory, TX 75440-3216
Ph: (903) 474-9090 |
Reviews and Comments