Omni Optometric Associates, Llc is a medicare enrolled "Optometrist" provider in Leadville, Colorado. Their current practice location is
711 Harrison Ave Unit H, Leadville, Colorado. You can reach out to their office (for appointments etc.) via phone at
(719) 486-2505.
Omni Optometric Associates, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Omni Optometric Associates, 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 1407050420.
Healthcare Provider's Profile
| Full Name | Omni Optometric Associates, Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 711 Harrison Ave Unit H, Leadville, 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: 1407050420
- Provider Enumeration Date: 06/13/2007
- Last Update Date: 03/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608960216
- Enrollment ID: O20070913000223
Medical Identifiers
Medical identifiers for Omni Optometric Associates, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407050420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (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.
Omni Optometric Associates, Llc acts as a billing entity for following providers:
| Provider Name | Robert E Prouty |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1336120724
PECOS PAC ID: 2860411915
Enrollment ID: I20051117000406 |
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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. Omni Optometric Associates, 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 |
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Omni Optometric Associates, Llc
1110 Black Saddle St,
Elizabeth, CO 80107-8528
Ph: (720) 252-3802 | Omni Optometric Associates, Llc
711 Harrison Ave Unit H,
Leadville, CO 80461-3571
Ph: (719) 486-2505 |
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