Kingston Eyecare Center, Llc is a medicare enrolled "Optometrist" provider in Kingston, Washington. Their current practice location is
25989 Barber Cut Off Rd Ne, Kingston, Washington. You can reach out to their office (for appointments etc.) via phone at
(360) 297-2844.
Kingston Eyecare Center, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kingston Eyecare Center, 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 1134293228.
Healthcare Provider's Profile
| Full Name | Kingston Eyecare Center, Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 25989 Barber Cut Off Rd Ne, Kingston, Washington |
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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: 1134293228
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 05/13/2008
Medicare PECOS Information:
- PECOS PAC ID: 8426039629
- Enrollment ID: O20040525000766
Medical Identifiers
Medical identifiers for Kingston Eyecare Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134293228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (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.
Kingston Eyecare Center, Llc acts as a billing entity for following providers:
| Provider Name | Mitchell D Brockett |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1871577593
PECOS PAC ID: 2264413475
Enrollment ID: I20040526000286 |
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| Provider Name | Michael S Mccown |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1225025869
PECOS PAC ID: 7113814468
Enrollment ID: I20040526000355 |
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| Provider Name | Jessica L Wilson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1720570054
PECOS PAC ID: 4880947423
Enrollment ID: I20181029000292 |
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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. Kingston Eyecare Center, 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 |
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Kingston Eyecare Center, Llc
25989 Barber Cut Off Rd Ne,
Kingston, WA 98346-8455
Ph: (360) 297-2844 | Kingston Eyecare Center, Llc
25989 Barber Cut Off Rd Ne,
Kingston, WA 98346-8455
Ph: (360) 297-2844 |
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