Roosevelt Vision Clinic, Pc - Medicare Optometrist in Roosevelt, UT

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Roosevelt Vision Clinic, Pc is a medicare enrolled "Optometrist" provider in Roosevelt, Utah. Their current practice location is 165 W 200 N, 71-7, Roosevelt, Utah. You can reach out to their office (for appointments etc.) via phone at (435) 722-2981.

Roosevelt Vision Clinic, Pc is licensed to practice in Utah (license number 111999-9934) and it also participates in the medicare program. Roosevelt Vision Clinic, 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 1710973052.

Contact Information

Roosevelt Vision Clinic, Pc
165 W 200 N, 71-7,
Roosevelt, UT 84066-2834
(435) 722-2981
(435) 722-3732

Map and Direction




Healthcare Provider's Profile

Full NameRoosevelt Vision Clinic, Pc
TypeFacility
SpecialityOptometrist
Location165 W 200 N, Roosevelt, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710973052
  • Provider Enumeration Date: 09/22/2005
  • Last Update Date: 08/27/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9830269844
  • Enrollment ID: O20080603000410

Medical Identifiers

Medical identifiers for Roosevelt Vision Clinic, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710973052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 111999-9934 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Roosevelt Vision Clinic, Pc acts as a billing entity for following providers:
Provider NameScott H Kowallis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861487050
PECOS PAC ID: 1153403837
Enrollment ID: I20080204000284
Provider NameJon Preston Wilson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1760477731
PECOS PAC ID: 1658445929
Enrollment ID: I20080805000072
Provider NameJason Norman Kowallis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942561311
PECOS PAC ID: 8921262056
Enrollment ID: I20120620000820
Provider NameCade John Kowallis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1952781262
PECOS PAC ID: 5799097747
Enrollment ID: I20150702002185

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. Roosevelt Vision Clinic, 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 AddressPractice Location Address
Roosevelt Vision Clinic, Pc
165 W 200 N, 71-7,
Roosevelt, UT 84066-2834

Ph: (435) 722-2981		Roosevelt Vision Clinic, Pc
165 W 200 N, 71-7,
Roosevelt, UT 84066-2834

Ph: (435) 722-2981

Reviews and Comments


Optometrist in Roosevelt, UT

Jon Preston Wilson, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 165 W 200 N, 71-7, Roosevelt, UT 84066
Phone: 435-722-2981    Fax: 435-722-3732
Mr. Scott H Kowallis, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 165 W 200 N, 71-7, Roosevelt, UT 84066
Phone: 435-722-2981    Fax: 435-722-3732
Jason Kowallis, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 165 W 200 N, Roosevelt, UT 84066
Phone: 435-722-5890    
Cade John Kowallis, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 165 W 200 N # 71-1, Roosevelt, UT 84066
Phone: 435-823-2984    

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.