Georgia Family Eyecare Llc is a medicare enrolled "Optometrist" provider in Kathleen, Georgia. Their current practice location is
678 Lake Joy Rd., Suite B, Kathleen, Georgia. You can reach out to their office (for appointments etc.) via phone at
(478) 328-0900.
Georgia Family Eyecare Llc is licensed to practice in Georgia (license number OPT002845) and it also participates in the medicare program. Georgia Family Eyecare 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 1922451913.
Healthcare Provider's Profile
| Full Name | Georgia Family Eyecare Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 678 Lake Joy Rd., Kathleen, Georgia |
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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: 1922451913
- Provider Enumeration Date: 07/14/2016
- Last Update Date: 12/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103114103
- Enrollment ID: O20161006001281
Medical Identifiers
Medical identifiers for Georgia Family Eyecare Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922451913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPT002845 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Georgia Family Eyecare Llc acts as a billing entity for following providers:
| Provider Name | Pierre K Vinh |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1609845536
PECOS PAC ID: 5496826844
Enrollment ID: I20080612000622 |
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| Provider Name | Navid Khoshooee |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1689079451
PECOS PAC ID: 8426375114
Enrollment ID: I20150317001620 |
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| Provider Name | Malika R Rajendra |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1497005359
PECOS PAC ID: 5991130536
Enrollment ID: I20200108003069 |
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| Provider Name | Dipal Patel |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1750925020
PECOS PAC ID: 4183055858
Enrollment ID: I20240215001095 |
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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. Georgia Family Eyecare 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 |
|---|
Georgia Family Eyecare Llc
1112 Russell Pkwy, Suite C,
Warner Robins, GA 31088-1816
Ph: (478) 328-0900 | Georgia Family Eyecare Llc
678 Lake Joy Rd., Suite B,
Kathleen, GA 31047
Ph: (478) 328-0900 |
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