Professional Eyecare Lawrence Llc is a medicare enrolled "Ophthalmology" provider in Lawrence, Kansas. Their current practice location is
3201 S Iowa St, Lawrence, Kansas. You can reach out to their office (for appointments etc.) via phone at
(785) 838-3417.
Professional Eyecare Lawrence Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Professional Eyecare Lawrence 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 1184272015.
Healthcare Provider's Profile
| Full Name | Professional Eyecare Lawrence Llc |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 3201 S Iowa St, Lawrence, Kansas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1184272015
- Provider Enumeration Date: 09/04/2019
- Last Update Date: 01/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 3678909660
- Enrollment ID: O20200211002151
Medical Identifiers
Medical identifiers for Professional Eyecare Lawrence Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184272015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (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.
Professional Eyecare Lawrence Llc acts as a billing entity for following providers:
| Provider Name | Austin Michael Andersen |
|---|
| Provider Type | Practitioner - Ophthalmology |
|---|
| Provider Identifiers | NPI Number: 1164819579
PECOS PAC ID: 1052623568
Enrollment ID: I20161202000908 |
|---|
| Provider Name | Melanie Deitch |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1609378330
PECOS PAC ID: 1951656792
Enrollment ID: I20181011001972 |
|---|
| Provider Name | Christopher A Pena |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1518215029
PECOS PAC ID: 1850541210
Enrollment ID: I20201029001602 |
|---|
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. Professional Eyecare Lawrence 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 |
|---|
Professional Eyecare Lawrence Llc
16325 S Allman Rd,
Olathe, KS 66062-9067
Ph: (402) 540-0017 | Professional Eyecare Lawrence Llc
3201 S Iowa St,
Lawrence, KS 66046-5205
Ph: (785) 838-3417 |
Reviews and Comments