Davenport Vision Clinic, Inc. is a medicare enrolled "Optometrist" provider in Davenport, Washington. Their current practice location is
506 8th St, Davenport, Washington. You can reach out to their office (for appointments etc.) via phone at
(509) 725-2000.
Davenport Vision Clinic, Inc. is licensed to practice in Washington (license number 0D00003248) and it also participates in the medicare program. Davenport Vision Clinic, 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 1447323811.
Healthcare Provider's Profile
| Full Name | Davenport Vision Clinic, Inc. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 506 8th St, Davenport, Washington |
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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: 1447323811
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 10/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 7113817040
- Enrollment ID: O20040316000906
Medical Identifiers
Medical identifiers for Davenport Vision Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447323811 | NPI | - | NPPES |
| 410046744 | Other | WA | RAILROAD MEDICARE |
| 2025815 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 0D00003248 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Davenport Vision Clinic, Inc. acts as a billing entity for following providers:
| Provider Name | Stacie Rae Nichols |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1912927518
PECOS PAC ID: 9638069560
Enrollment ID: I20100924000352 |
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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. Davenport Vision Clinic, 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 |
|---|
Davenport Vision Clinic, Inc.
Po Box 27,
Davenport, WA 99122-0027
Ph: (509) 725-2000 | Davenport Vision Clinic, Inc.
506 8th St,
Davenport, WA 99122
Ph: (509) 725-2000 |
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