Granite City Vision, Inc. - Medicare in Granite City, IL

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Granite City Vision, Inc. is a medicare enrolled "Preferred Provider Organization" provider in Granite City, Illinois. Their current practice location is 4182 Nameoki Rd., Granite City, Illinois. You can reach out to their office (for appointments etc.) via phone at (618) 876-2438.

Granite City Vision, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Granite City 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 1174756902.

Contact Information

Granite City Vision, Inc.
4182 Nameoki Rd.,
Granite City, IL 62040-2330
(618) 876-2438
(618) 876-2440

Map and Direction




Healthcare Provider's Profile

Full NameGranite City Vision, Inc.
TypeFacility
SpecialityPreferred Provider Organization
Location4182 Nameoki Rd., Granite City, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174756902
  • Provider Enumeration Date: 08/27/2009
  • Last Update Date: 08/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2860523891
  • Enrollment ID: O20100708000266

Medical Identifiers

Medical identifiers for Granite City Vision, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174756902NPI-NPPES
08533MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
156FC0801XTechnician/technologist - Contact Lens Fitter (* (Not Available))Secondary
156FX1800XTechnician/technologist - Optician (* (Not Available))Secondary
305S00000XPoint Of Service (* (Not Available))Secondary
305R00000XPreferred Provider Organization (* (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. Granite City Vision, Inc. acts as a billing entity for following providers:
Provider NameValerie J Barber
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265504443
PECOS PAC ID: 8224087754
Enrollment ID: I20050121000423
Provider NamePuja Desai
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992050967
PECOS PAC ID: 8022250125
Enrollment ID: I20130819000741
Provider NamePamela Marie Marzec
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134472996
PECOS PAC ID: 5092958942
Enrollment ID: I20130826000603
Provider NameVrajika Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588282156
PECOS PAC ID: 7315362217
Enrollment ID: I20201021001294
Provider NameShikha Bhat
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407230303
PECOS PAC ID: 2567870629
Enrollment ID: I20210415001360
Provider NameDeanna Ippolito
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1225683121
PECOS PAC ID: 8426388257
Enrollment ID: I20210429000100
Provider NameArpit Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710595368
PECOS PAC ID: 1254729684
Enrollment ID: I20211103002715
Provider NameDana Hobi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619590403
PECOS PAC ID: 3779966551
Enrollment ID: I20230403000104
Provider NameTodd Smith
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1831202076
PECOS PAC ID: 5597785790
Enrollment ID: I20240306003419
Provider NameLisa Nguyen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1699495937
PECOS PAC ID: 9638523806
Enrollment ID: I20240917001916
Provider NameRickey Harton
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1609861129
PECOS PAC ID: 6507881117
Enrollment ID: I20241010002990

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. Granite City 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 AddressPractice Location Address
Granite City Vision, Inc.
4182 Nameoki Rd.,
Granite City, IL 62040-2330

Ph: (618) 876-2438		Granite City Vision, Inc.
4182 Nameoki Rd.,
Granite City, IL 62040-2330

Ph: (618) 876-2438

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.