Optical Illusion - Medicare in Toledo, OH

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Optical Illusion is a medicare enrolled "Ophthalmology" provider in Toledo, Ohio. Their current practice location is 1000 Regency Ct, Ste 100, Toledo, Ohio. You can reach out to their office (for appointments etc.) via phone at (419) 882-0588.

Optical Illusion is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Optical Illusion 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 1720155534.

Contact Information

Optical Illusion
1000 Regency Ct, Ste 100,
Toledo, OH 43623-3074
(419) 882-0588
(419) 885-3070

Map and Direction




Healthcare Provider's Profile

Full NameOptical Illusion
TypeFacility
SpecialityOphthalmology
Location1000 Regency Ct, Toledo, Ohio
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720155534
  • Provider Enumeration Date: 11/29/2006
  • Last Update Date: 10/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0547201444
  • Enrollment ID: O20050520000765

Medical Identifiers

Medical identifiers for Optical Illusion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720155534NPI-NPPES
CI3304OtherOHRAILROAD MEDCIARE
000000163747OtherOHANTHEM
2057821MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary
332H00000XEyewear Supplier (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Optical Illusion acts as a billing entity for following providers:
Provider NameChristina Pacio Tam
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1205871787
PECOS PAC ID: 0941250328
Enrollment ID: I20050125000112
Provider NameDino J Costa
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1659376978
PECOS PAC ID: 8325089121
Enrollment ID: I20050520000806
Provider NameKhalil A Raffoul
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1407851736
PECOS PAC ID: 2264548221
Enrollment ID: I20101008000178
Provider NameJames A Knupp
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1548211774
PECOS PAC ID: 0446212633
Enrollment ID: I20130628000504
Provider NameJohn Michael Elchinger
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629505581
PECOS PAC ID: 4789952359
Enrollment ID: I20170622002999
Provider NameSami M Khan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1619400900
PECOS PAC ID: 9638443310
Enrollment ID: I20220712002263
Provider NameJeffrey William Moon
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1073006318
PECOS PAC ID: 3173091618
Enrollment ID: I20260504006326

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. Optical Illusion 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 AddressPractice Location Address
Optical Illusion
1000 Regency Ct Ste 100,
Toledo, OH 43623-3074

Ph: (419) 882-0588		Optical Illusion
1000 Regency Ct, Ste 100,
Toledo, OH 43623-3074

Ph: (419) 882-0588

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.