Fort Lupton Vision Center Pc is a medicare enrolled "Optometrist" provider in Fort Lupton, Colorado. Their current practice location is
301 Denver Ave, Fort Lupton, Colorado. You can reach out to their office (for appointments etc.) via phone at
(303) 857-6550.
Fort Lupton Vision Center Pc is licensed to practice in Colorado (license number 2357) and it also participates in the medicare program. Fort Lupton Vision Center Pc
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 1558544833.
Healthcare Provider's Profile
| Full Name | Fort Lupton Vision Center Pc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 301 Denver Ave, Fort Lupton, Colorado |
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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: 1558544833
- Provider Enumeration Date: 12/10/2007
- Last Update Date: 05/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163478199
- Enrollment ID: O20050323000631
Medical Identifiers
Medical identifiers for Fort Lupton Vision Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558544833 | NPI | - | NPPES |
| DP2823 | Other | CO | RAILROAD MEDICARE GROUP PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2357 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fort Lupton Vision Center Pc acts as a billing entity for following providers:
| Provider Name | David A Simonson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1356314744
PECOS PAC ID: 2466421300
Enrollment ID: I20040928000925 |
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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. Fort Lupton Vision Center Pc 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 |
|---|
Fort Lupton Vision Center Pc
301 Denver Ave,
Fort Lupton, CO 80621-1821
Ph: (303) 857-6550 | Fort Lupton Vision Center Pc
301 Denver Ave,
Fort Lupton, CO 80621-1821
Ph: (303) 857-6550 |
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