Borel Eye Doctors Optometry With Vision is a medicare enrolled "Eyewear Supplier" provider in San Mateo, California. Their current practice location is
37 Bovet Rd, San Mateo, California. You can reach out to their office (for appointments etc.) via phone at
(650) 570-5955.
Borel Eye Doctors Optometry With Vision is licensed to practice in California (license number 7122T) and it also participates in the medicare program. Borel Eye Doctors Optometry With Vision
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 1902076466.
Healthcare Provider's Profile
| Full Name | Borel Eye Doctors Optometry With Vision |
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| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 37 Bovet Rd, San Mateo, California |
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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: 1902076466
- Provider Enumeration Date: 03/11/2008
- Last Update Date: 06/19/2015
Medicare PECOS Information:
- PECOS PAC ID: 8224222419
- Enrollment ID: O20101102000205
Medical Identifiers
Medical identifiers for Borel Eye Doctors Optometry With Vision such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902076466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 7122T (California) | Secondary |
| 332H00000X | Eyewear Supplier | 7122T (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Borel Eye Doctors Optometry With Vision acts as a billing entity for following providers:
| Provider Name | Marcie E Arnesty |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1427103787
PECOS PAC ID: 8921292129
Enrollment ID: I20101102000286 |
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| Provider Name | Terri Justine Mark |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1871649202
PECOS PAC ID: 1456665918
Enrollment ID: I20150729007258 |
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| Provider Name | Samantha Timpog Bautista |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1780137778
PECOS PAC ID: 3779860978
Enrollment ID: I20170425002076 |
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| Provider Name | Timothy G Mock |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1063961654
PECOS PAC ID: 1153669890
Enrollment ID: I20190205002078 |
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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. Borel Eye Doctors Optometry With Vision 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 |
|---|
Borel Eye Doctors Optometry With Vision
37 Bovet Rd,
San Mateo, CA 94402-3104
Ph: (650) 570-5955 | Borel Eye Doctors Optometry With Vision
37 Bovet Rd,
San Mateo, CA 94402-3104
Ph: (650) 570-5955 |
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