Northside Eye Center Llc - Medicare Optometrist in Fort Wayne, IN

Northside Eye Center Llc is a medicare enrolled "Optometrist" provider in Fort Wayne, Indiana. Their current practice location is 9610 Lima Road, Suite 103, Fort Wayne, Indiana. You can reach out to their office (for appointments etc.) via phone at (260) 440-8388.

Northside Eye Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northside Eye Center 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 1770266322.

Contact Information

Northside Eye Center Llc
9610 Lima Road, Suite 103,
Fort Wayne, IN 46818-9998
(260) 440-8388
(260) 999-5645

Map and Direction




Healthcare Provider's Profile

Full NameNorthside Eye Center Llc
TypeFacility
SpecialityOptometrist
Location9610 Lima Road, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770266322
  • Provider Enumeration Date: 08/10/2023
  • Last Update Date: 03/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254786122
  • Enrollment ID: O20231012001389

Medical Identifiers

Medical identifiers for Northside Eye Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770266322NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (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. Northside Eye Center Llc acts as a billing entity for following providers:
Provider NameBrandon D Callow
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639522642
PECOS PAC ID: 2365736048
Enrollment ID: I20160803000551

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. Northside Eye Center 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 AddressPractice Location Address
Northside Eye Center Llc
9610 Lima Road, Suite 103,
Fort Wayne, IN 46818-0104

Ph: (260) 440-8388
Northside Eye Center Llc
9610 Lima Road, Suite 103,
Fort Wayne, IN 46818-9998

Ph: (260) 440-8388

Reviews and Comments


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Dr. Daniel P Taylor, O. D.
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Phone: 260-484-8516    Fax: 260-484-8521

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.