Geneseo Vision Center Llc is a medicare enrolled "Optometrist" provider in Geneseo, Illinois. Their current practice location is
112 S Center St, Geneseo, Illinois. You can reach out to their office (for appointments etc.) via phone at
(309) 944-5303.
Geneseo Vision Center Llc is licensed to practice in Illinois (license number 04600798) and it also participates in the medicare program. Geneseo Vision Center 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 1073909354.
Healthcare Provider's Profile
Full Name | Geneseo Vision Center Llc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 112 S Center St, Geneseo, 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: 1073909354
- Provider Enumeration Date: 04/13/2015
- Last Update Date: 02/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759692635
- Enrollment ID: O20150618001717
Medical Identifiers
Medical identifiers for Geneseo Vision Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073909354 | NPI | - | NPPES |
046007958 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 04600798 (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.
Geneseo Vision Center Llc acts as a billing entity for following providers:
Provider Name | Ryan J Wilson |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1407832454 PECOS PAC ID: 3870492580 Enrollment ID: I20031231000725 |
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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. Geneseo Vision Center 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 |
Geneseo Vision Center Llc 112 S Center St, Geneseo, IL 61254-1338 Ph: (309) 944-5303 | Geneseo Vision Center Llc 112 S Center St, Geneseo, IL 61254-1338 Ph: (309) 944-5303 |
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