Excellence In Eyecare is a medicare enrolled "Specialist" provider in Medina, Ohio. Their current practice location is
3609 Medina Rd, Medina, Ohio. You can reach out to their office (for appointments etc.) via phone at
(330) 722-1313.
Excellence In Eyecare is licensed to practice in Ohio (license number 35092551) and it also participates in the medicare program. Excellence In Eyecare
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 1588092621.
Healthcare Provider's Profile
| Full Name | Excellence In Eyecare |
|---|
| Type | Facility |
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| Speciality | Specialist |
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| Location | 3609 Medina Rd, Medina, Ohio |
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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: 1588092621
- Provider Enumeration Date: 10/29/2013
- Last Update Date: 03/06/2014
Medicare PECOS Information:
- PECOS PAC ID: 0345478970
- Enrollment ID: O20140106000653
Medical Identifiers
Medical identifiers for Excellence In Eyecare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588092621 | NPI | - | NPPES |
| 0513797 | Medicaid | OH | |
| 2876222 | Medicaid | OH | |
| 2931582 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 4976 (Ohio) | Secondary |
| 174400000X | Specialist | 35048832 (Ohio) | Secondary |
| 174400000X | Specialist | 35092551 (Ohio) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Ohio) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Excellence In Eyecare acts as a billing entity for following providers:
| Provider Name | Lisa Mt Wiseman |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1891790531
PECOS PAC ID: 1456363076
Enrollment ID: I20060626000083 |
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| Provider Name | Andrew A Esposito |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1962618249
PECOS PAC ID: 3072676436
Enrollment ID: I20090112000007 |
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| Provider Name | Angelica Polizzi |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1215550322
PECOS PAC ID: 6305261025
Enrollment ID: I20200729000281 |
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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. Excellence In Eyecare 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 |
|---|
Excellence In Eyecare
3609 Medina Rd,
Medina, OH 44256-8181
Ph: (330) 722-1313 | Excellence In Eyecare
3609 Medina Rd,
Medina, OH 44256-8181
Ph: (330) 722-1313 |
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