Eyes On Broadway Sa Inc is a medicare enrolled "Eyewear Supplier" provider in New York, New York. Their current practice location is
825 Broadway, New York, New York. You can reach out to their office (for appointments etc.) via phone at
(212) 475-0999.
Eyes On Broadway Sa Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Eyes On Broadway Sa 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 1396527222.
Healthcare Provider's Profile
| Full Name | Eyes On Broadway Sa Inc |
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| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 825 Broadway, New York, New York |
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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: 1396527222
- Provider Enumeration Date: 10/16/2023
- Last Update Date: 10/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567986755
- Enrollment ID: O20250409001776
Medical Identifiers
Medical identifiers for Eyes On Broadway Sa Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396527222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152WV0400X | Optometrist - Vision Therapy | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eyes On Broadway Sa Inc acts as a billing entity for following providers:
| Provider Name | Denise Whittam |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1699742403
PECOS PAC ID: 5395269500
Enrollment ID: I20250409002612 |
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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. Eyes On Broadway Sa 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 |
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Eyes On Broadway Sa Inc
825 Broadway,
New York, NY 10003-4702
Ph: (212) 475-0999 | Eyes On Broadway Sa Inc
825 Broadway,
New York, NY 10003
Ph: (212) 475-0999 |
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