Lally Eyecare Inc is a medicare enrolled "Optometrist" provider in Marshall, Missouri. Their current practice location is
12 N Jefferson Ave, Marshall, Missouri. You can reach out to their office (for appointments etc.) via phone at
(660) 886-5584.
Lally Eyecare Inc is licensed to practice in Missouri (license number T03163) and it also participates in the medicare program. Lally Eyecare Inc
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 1790890184.
Healthcare Provider's Profile
| Full Name | Lally Eyecare Inc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 12 N Jefferson Ave, Marshall, Missouri |
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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: 1790890184
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 06/08/2009
Medicare PECOS Information:
- PECOS PAC ID: 7719038421
- Enrollment ID: O20090619000060
Medical Identifiers
Medical identifiers for Lally Eyecare Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790890184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | T03163 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lally Eyecare Inc acts as a billing entity for following providers:
| Provider Name | Tron Y Lally |
|---|
| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1265547640
PECOS PAC ID: 2961443171
Enrollment ID: I20050518000630 |
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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. Lally Eyecare Inc 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 |
|---|
Lally Eyecare Inc
12 North Jefferson,
Marshall, MO 65340-2106
Ph: (660) 886-5584 | Lally Eyecare Inc
12 N Jefferson Ave,
Marshall, MO 65340-2148
Ph: (660) 886-5584 |
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