Eyes At The Villages is a medicare enrolled "Ophthalmology" provider in Lady Lake, Florida. Their current practice location is
936 Bichara Blvd, Lady Lake, Florida. You can reach out to their office (for appointments etc.) via phone at
(352) 753-9888.
Eyes At The Villages is licensed to practice in Florida (license number ME0071525) and it also participates in the medicare program. Eyes At The Villages
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 1285670117.
Healthcare Provider's Profile
| Full Name | Eyes At The Villages |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 936 Bichara Blvd, Lady Lake, Florida |
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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: 1285670117
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 08/18/2010
Medicare PECOS Information:
- PECOS PAC ID: 2163480856
- Enrollment ID: O20041228000698
Medical Identifiers
Medical identifiers for Eyes At The Villages such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285670117 | NPI | - | NPPES |
| 99816 | Other | FL | BLUE CROSS BLUE SHIELD |
| 180030274 | Other | | MEDICARE RR GROUP ID |
| 251540700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPC2612 (Florida) | Secondary |
| 207W00000X | Ophthalmology | ME0071525 (Florida) | Primary |
| 207W00000X | Ophthalmology | ME89546 (Florida) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eyes At The Villages acts as a billing entity for following providers:
| Provider Name | Mamdouh Zeini |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1184794372
PECOS PAC ID: 0143288837
Enrollment ID: I20100819000305 |
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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. Eyes At The Villages 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 |
|---|
Eyes At The Villages
936 Bichara Blvd,
Lady Lake, FL 32159-7714
Ph: (352) 753-9888 | Eyes At The Villages
936 Bichara Blvd,
Lady Lake, FL 32159-7714
Ph: (352) 753-9888 |
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