Georgetown Eye Care is a medicare enrolled "Clinic/center - Medical Specialty" provider in Georgetown, Kentucky. Their current practice location is
103 S Bradford Ln, Georgetown, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(859) 321-1029.
Georgetown Eye Care is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Georgetown Eye Care
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 1689611949.
Healthcare Provider's Profile
| Full Name | Georgetown Eye Care |
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| Type | Facility |
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| Speciality | Clinic/center - Medical Specialty |
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| Location | 103 S Bradford Ln, Georgetown, Kentucky |
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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: 1689611949
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 02/18/2014
Medicare PECOS Information:
- PECOS PAC ID: 8426051947
- Enrollment ID: O20060822000444
Medical Identifiers
Medical identifiers for Georgetown Eye Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689611949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1845DT (Kentucky) | Secondary |
| 207W00000X | Ophthalmology | 38932 (Kentucky) | Secondary |
| 207W00000X | Ophthalmology | 45851 (Kentucky) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (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.
Georgetown Eye Care acts as a billing entity for following providers:
| Provider Name | William W Richardson |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1720028483
PECOS PAC ID: 1254334774
Enrollment ID: I20060822000440 |
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| Provider Name | Stefanie Adams |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1750669198
PECOS PAC ID: 5395918874
Enrollment ID: I20111027000918 |
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| Provider Name | James J Gullett |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1073748158
PECOS PAC ID: 6608019179
Enrollment ID: I20130830000797 |
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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. Georgetown Eye Care 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 |
|---|
Georgetown Eye Care
1299 Standish Way,
Lexington, KY 40504-2045
Ph: (859) 523-3553 | Georgetown Eye Care
103 S Bradford Ln,
Georgetown, KY 40324-2336
Ph: (859) 321-1029 |
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