Fanwood Eye Care Llc is a medicare enrolled "Optometrist" provider in Fanwood, New Jersey. Their current practice location is
246 South Ave, #106, Fanwood, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(978) 987-0698.
Fanwood Eye Care Llc is licensed to practice in New Jersey (license number 27OA00643700) and it also participates in the medicare program. Fanwood Eye Care 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 1396281564.
Healthcare Provider's Profile
| Full Name | Fanwood Eye Care Llc |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 246 South Ave, Fanwood, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1396281564
- Provider Enumeration Date: 01/12/2017
- Last Update Date: 11/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 9032475207
- Enrollment ID: O20171106000608
Medical Identifiers
Medical identifiers for Fanwood Eye Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396281564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 27OA00643700 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fanwood Eye Care Llc acts as a billing entity for following providers:
| Provider Name | Sam Hoon Lee |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1578932463
PECOS PAC ID: 1658651245
Enrollment ID: I20161219001129 |
|---|
| Provider Name | Kathy Lee Shin |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1457648867
PECOS PAC ID: 0941566111
Enrollment ID: I20171108001100 |
|---|
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. Fanwood Eye Care 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 |
|---|
Fanwood Eye Care Llc
246 South Ave, #106,
Fanwood, NJ 07023-1220
Ph: () - | Fanwood Eye Care Llc
246 South Ave, #106,
Fanwood, NJ 07023-1220
Ph: (978) 987-0698 |
Reviews and Comments