Powder Basin Eyepros Llc is a medicare enrolled "Optometrist" provider in Eden, Utah. Their current practice location is
2143 N 5500 E, Eden, Utah. You can reach out to their office (for appointments etc.) via phone at
(267) 736-6335.
Powder Basin Eyepros Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Powder Basin Eyepros 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 1467203539.
Healthcare Provider's Profile
| Full Name | Powder Basin Eyepros Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 2143 N 5500 E, Eden, Utah |
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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: 1467203539
- Provider Enumeration Date: 03/28/2024
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193258390
- Enrollment ID: O20241025003730
Medical Identifiers
Medical identifiers for Powder Basin Eyepros Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467203539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (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.
Powder Basin Eyepros Llc acts as a billing entity for following providers:
| Provider Name | Matthew L Watson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1588990295
PECOS PAC ID: 5799962692
Enrollment ID: I20110616000819 |
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| Provider Name | Ryan Grant Hayes |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1043572738
PECOS PAC ID: 2668797663
Enrollment ID: I20180223002405 |
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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. Powder Basin Eyepros 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 Address | Practice Location Address |
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Powder Basin Eyepros Llc
4523 N 3150 E,
Liberty, UT 84310-9799
Ph: (267) 736-6335 | Powder Basin Eyepros Llc
2143 N 5500 E,
Eden, UT 84310
Ph: (267) 736-6335 |
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