Samuel Ray Simmons, OD - Medicare Optometrist in Fort Wayne, IN

Samuel Ray Simmons, OD is a medicare enrolled "Optometrist" provider in Fort Wayne, Indiana. He went to Southern College Of Optometry and graduated in 1980 and has 44 years of diverse experience with area of expertise as Optometry. His current practice location is 3411 N Anthony Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 482-1707.

Samuel Ray Simmons is licensed to practice in Indiana (license number 18001933A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295811305.

Contact Information

Samuel Ray Simmons, OD
3411 N Anthony Blvd,
Fort Wayne, IN 46805-2233
(260) 482-1707
(260) 482-1707

Map and Direction




Healthcare Provider's Profile

Full NameSamuel Ray Simmons
GenderMale
SpecialityOptometry
Experience44 Years
Location3411 N Anthony Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Ray Simmons attended and graduated from Southern College Of Optometry in 1980
  NPI Data:
  • NPI Number: 1295811305
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9234181231
  • Enrollment ID: I20050217000911

Medical Identifiers

Medical identifiers for Samuel Ray Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295811305NPI-NPPES
02049OtherINSPECTERA INSURANCE
135021OtherINEYEMED INSURANCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18001933A (Indiana)Primary

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. Samuel Ray Simmons 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
Samuel Ray Simmons, OD
3411 N Anthony Blvd,
Fort Wayne, IN 46805-2233

Ph: (260) 482-1707
Samuel Ray Simmons, OD
3411 N Anthony Blvd,
Fort Wayne, IN 46805-2233

Ph: (260) 482-1707

Reviews and Comments


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Dr. Frank Robinson Jr., O.D.
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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.