Penn Yan Optometry Pc is a medicare enrolled "Eyewear Supplier" provider in Penn Yan, New York. Their current practice location is
163 Main St, Penn Yan, New York. You can reach out to their office (for appointments etc.) via phone at
(315) 536-9941.
Penn Yan Optometry Pc is licensed to practice in New York (license number TUV005146-J) and it also participates in the medicare program. Penn Yan Optometry Pc
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 1275600496.
Healthcare Provider's Profile
| Full Name | Penn Yan Optometry Pc |
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| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 163 Main St, Penn Yan, New York |
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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: 1275600496
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 2769855204
- Enrollment ID: O20230302001681
Medical Identifiers
Medical identifiers for Penn Yan Optometry Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275600496 | NPI | - | NPPES |
| 101985CS | Other | NY | PREFERRED CARE |
| 135462CT | Other | NY | PREFERRED CARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TUV005146-J (New York) | Secondary |
| 302F00000X | Exclusive Provider Organization | TUV005146-J (New York) | Secondary |
| 332H00000X | Eyewear Supplier | TUV005146-J (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Penn Yan Optometry Pc acts as a billing entity for following providers:
| Provider Name | Andrew P Smith |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1174585996
PECOS PAC ID: 9537106356
Enrollment ID: I20050413000839 |
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| Provider Name | Carolyn Anderson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1598439127
PECOS PAC ID: 0749670974
Enrollment ID: I20211202001679 |
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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. Penn Yan Optometry Pc 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 |
|---|
Penn Yan Optometry Pc
163 Main St,
Penn Yan, NY 14527-1284
Ph: (315) 536-9941 | Penn Yan Optometry Pc
163 Main St,
Penn Yan, NY 14527-1284
Ph: (315) 536-9941 |
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