West Bend Optical, Inc is a medicare enrolled "Technician/technologist" provider in West Bend, Wisconsin. Their current practice location is
3720 W. Washington St., West Bend, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(262) 338-1800.
West Bend Optical, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. West Bend Optical, Inc
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 1023138922.
Healthcare Provider's Profile
| Full Name | West Bend Optical, Inc |
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| Type | Facility |
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| Speciality | Technician/technologist |
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| Location | 3720 W. Washington St., West Bend, Wisconsin |
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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: 1023138922
- Provider Enumeration Date: 04/02/2007
- Last Update Date: 08/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 0143355875
- Enrollment ID: O20100318000933
Medical Identifiers
Medical identifiers for West Bend Optical, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023138922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1756 (Wisconsin) | Secondary |
| 156F00000X | Technician/technologist | (* (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.
West Bend Optical, Inc acts as a billing entity for following providers:
| Provider Name | Jerry A Olson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1043387467
PECOS PAC ID: 9335274067
Enrollment ID: I20100318000921 |
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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. West Bend Optical, Inc 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 |
|---|
West Bend Optical, Inc
3720 W. Washington St.,
West Bend, WI 53095-8406
Ph: (262) 338-1800 | West Bend Optical, Inc
3720 W. Washington St.,
West Bend, WI 53095-8406
Ph: (262) 338-1800 |
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