Maxim-eyes Optical, Inc is a medicare enrolled "Technician/technologist - Optician" provider in Valrico, Florida. Their current practice location is
2547 E State Road 60, Valrico, Florida. You can reach out to their office (for appointments etc.) via phone at
(813) 653-9661.
Maxim-eyes Optical, Inc is licensed to practice in Florida (license number DO4868) and it also participates in the medicare program. Maxim-eyes Optical, 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 1386042026.
Healthcare Provider's Profile
| Full Name | Maxim-eyes Optical, Inc |
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| Type | Facility |
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| Speciality | Technician/technologist - Optician |
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| Location | 2547 E State Road 60, Valrico, 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: 1386042026
- Provider Enumeration Date: 12/11/2014
- Last Update Date: 12/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 4981940293
- Enrollment ID: O20190108001237
Medical Identifiers
Medical identifiers for Maxim-eyes Optical, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386042026 | NPI | - | NPPES |
| 630341200 | Medicaid | FL | |
| 078763900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPC2050 (Florida) | Secondary |
| 156FX1800X | Technician/technologist - Optician | DO4868 (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.
Maxim-eyes Optical, Inc acts as a billing entity for following providers:
| Provider Name | Stephen D Gres |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1962528620
PECOS PAC ID: 7719969336
Enrollment ID: I20040607000155 |
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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. Maxim-eyes Optical, 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 |
|---|
Maxim-eyes Optical, Inc
2547 E State Road 60,
Valrico, FL 33594-3830
Ph: (813) 653-9661 | Maxim-eyes Optical, Inc
2547 E State Road 60,
Valrico, FL 33594-3830
Ph: (813) 653-9661 |
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