Brandon La, OD in Winter Haven, FL - Medicare Optometrist Provider

Brandon La, OD is a medicare enrolled "Optometrist - Low Vision Rehabilitation" provider in Winter Haven, Florida. His current practice location is 250 Avenue K Sw Ste 200, Winter Haven, Florida. You can reach out to his office (for appointments etc.) via phone at (210) 283-6800.

Brandon La is licensed to practice in Florida (license number OPC6363) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710686118.

Contact Information

	Brandon La, OD
	250 Avenue K Sw Ste 200, Winter Haven, FL 33880-3919
	(210) 283-6800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandon La
Gender	Male
Speciality	Optometrist - Low Vision Rehabilitation
Location	250 Avenue K Sw Ste 200, Winter Haven, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710686118
Provider Enumeration Date: 02/24/2023
Last Update Date: 11/27/2024

Medicare PECOS Information:

PECOS PAC ID: 1658745351
Enrollment ID: I20230321000191

Medical Identifiers

Medical identifiers for Brandon La such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710686118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WL0500X	Optometrist - Low Vision Rehabilitation	OPC6363 (Florida)	Primary
152W00000X	Optometrist	OPC6363 (Florida)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brandon La allows following entities to bill medicare on his behalf.

Provider Name	University Of The Incarnate Word
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003129784 PECOS PAC ID: 9234310301 Enrollment ID: O20110222001023

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. Brandon La 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
Brandon La, OD 250 Avenue K Sw Ste 200, Winter Haven, FL 33880-3919 Ph: () -	Brandon La, OD 250 Avenue K Sw Ste 200, Winter Haven, FL 33880-3919 Ph: (210) 283-6800

Reviews and Comments

Optometrist in Winter Haven, FL

Edward Attaway, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 407 Avenue K Se, Winter Haven, FL 33880 Phone: 863-294-3504 Fax: 863-294-8305
Dr. John Tivnan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 407 Avenue K Se, Winter Haven, FL 33880 Phone: 863-294-3504 Fax: 863-299-0096
Sonya Braudway, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 Avenue K Sw, Suite 200, Winter Haven, FL 33880 Phone: 863-297-5400 Fax: 863-293-8230
Thomas W Hegland, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 407 Avenue K Se, Winter Haven, FL 33880 Phone: 863-294-3504 Fax: 866-522-3607
Mehak Khan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 250 Avenue K Sw Ste 200, Winter Haven, FL 33880 Phone: 863-297-5400
Dr. Thomas Brinton, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 407 Avenue K Se, Winter Haven, FL 33880 Phone: 863-294-3504 Fax: 863-294-8305
Katie M Salomon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 570 Avenue K Se, Winter Haven, FL 33880 Phone: 863-401-4200 Fax: 863-220-9912

Brandon La, OD - Medicare Optometrist in Winter Haven, FL