Lakeland Eye Clinic - Medicare in Lakeland, FL

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Lakeland Eye Clinic is a medicare enrolled "Ophthalmology" provider in Lakeland, Florida. Their current practice location is 1247 Lakeland Hills Blvd, Lakeland, Florida. You can reach out to their office (for appointments etc.) via phone at (863) 688-5604.

Lakeland Eye Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lakeland Eye Clinic 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 1154414159.

Contact Information

Lakeland Eye Clinic
1247 Lakeland Hills Blvd,
Lakeland, FL 33805-4673
(863) 688-5604
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLakeland Eye Clinic
TypeFacility
SpecialityOphthalmology
Location1247 Lakeland Hills Blvd, Lakeland, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154414159
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 09/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870585300
  • Enrollment ID: O20040402000276

Medical Identifiers

Medical identifiers for Lakeland Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154414159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (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. Lakeland Eye Clinic acts as a billing entity for following providers:
Provider NameJonell D Gill
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1518952035
PECOS PAC ID: 1355323734
Enrollment ID: I20040601001442
Provider NameMonte R Sichelman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1518085406
PECOS PAC ID: 0143317537
Enrollment ID: I20071101000313
Provider NameChristian J Copley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265665699
PECOS PAC ID: 5698815231
Enrollment ID: I20091212000140
Provider NameKevin A. Dorsett
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760446314
PECOS PAC ID: 2668544537
Enrollment ID: I20111207000294
Provider NameAhmad B Tarabishy
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1770629933
PECOS PAC ID: 9830292390
Enrollment ID: I20130903000766
Provider NameMarlen Leon
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699935320
PECOS PAC ID: 8123274842
Enrollment ID: I20131105001822
Provider NameEvan N Dunn
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1972879484
PECOS PAC ID: 1951547223
Enrollment ID: I20180809000451

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. Lakeland Eye Clinic 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
Lakeland Eye Clinic
1247 Lakeland Hills Blvd,
Lakeland, FL 33805-4673

Ph: (863) 688-5604		Lakeland Eye Clinic
1247 Lakeland Hills Blvd,
Lakeland, FL 33805-4673

Ph: (863) 688-5604

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.