Gateway Vision Inc is a medicare enrolled "Optometrist" provider in Atlantic Beach, Florida. Their current practice location is
447 Atlantic Blvd, Suite # 1, Atlantic Beach, Florida. You can reach out to their office (for appointments etc.) via phone at
(904) 247-0211.
Gateway Vision Inc is licensed to practice in Florida (license number OPC002051) and it also participates in the medicare program. Gateway Vision 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 1205885886.
Healthcare Provider's Profile
| Full Name | Gateway Vision Inc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 447 Atlantic Blvd, Atlantic Beach, Florida |
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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: 1205885886
- Provider Enumeration Date: 05/09/2006
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 8022029222
- Enrollment ID: O20060602000127
Medical Identifiers
Medical identifiers for Gateway Vision Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205885886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPC002051 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Gateway Vision Inc acts as a billing entity for following providers:
| Provider Name | Richard S Grimshaw |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1912963877
PECOS PAC ID: 3072525021
Enrollment ID: I20060717000244 |
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| Provider Name | Mark A Popp |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1225089295
PECOS PAC ID: 4981616935
Enrollment ID: I20060717000265 |
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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. Gateway Vision 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 |
|---|
Gateway Vision Inc
447 Atlantic Blvd, Suite # 1,
Atlantic Beach, FL 32233-4004
Ph: (904) 247-0211 | Gateway Vision Inc
447 Atlantic Blvd, Suite # 1,
Atlantic Beach, FL 32233-4004
Ph: (904) 247-0211 |
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