Pearle Vision is a medicare enrolled "Technician/technologist - Optician" provider in Omaha, Nebraska. Their current practice location is
17660 Wright St., Suite 18, Omaha, Nebraska. You can reach out to their office (for appointments etc.) via phone at
(402) 991-0160.
Pearle Vision is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pearle Vision
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 1629098538.
Healthcare Provider's Profile
| Full Name | Pearle Vision |
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| Type | Facility |
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| Speciality | Technician/technologist - Optician |
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| Location | 17660 Wright St., Omaha, Nebraska |
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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: 1629098538
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 08/13/2008
Medicare PECOS Information:
- PECOS PAC ID: 1456454404
- Enrollment ID: O20070312000289
Medical Identifiers
Medical identifiers for Pearle Vision such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629098538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | NE847 (Nebraska) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (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.
Pearle Vision acts as a billing entity for following providers:
| Provider Name | Jimmy D Johnson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1992831135
PECOS PAC ID: 8527132398
Enrollment ID: I20080729000297 |
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| Provider Name | Thomas R Munger |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1578555389
PECOS PAC ID: 6406987049
Enrollment ID: I20200928001923 |
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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. Pearle Vision 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 |
|---|
Pearle Vision
17660 Wright St., Suite 18,
Omaha, NE 68130
Ph: (402) 991-0160 | Pearle Vision
17660 Wright St., Suite 18,
Omaha, NE 68130
Ph: (402) 991-0160 |
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