Southlake Vision Group Pllc in Southlake, TX - Medicare Optometrist Provider

Southlake Vision Group Pllc is a medicare enrolled "Optometrist" provider in Southlake, Texas. Their current practice location is 3004 E Southlake Blvd, Southlake, Texas. You can reach out to their office (for appointments etc.) via phone at (682) 554-2079.

Southlake Vision Group Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southlake Vision Group Pllc 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 1114438017.

Contact Information

	Southlake Vision Group Pllc
	3004 E Southlake Blvd, Southlake, TX 76092-6618
	(682) 554-2079
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Southlake Vision Group Pllc
Type	Facility
Speciality	Optometrist
Location	3004 E Southlake Blvd, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114438017
Provider Enumeration Date: 10/18/2017
Last Update Date: 12/01/2017

Medicare PECOS Information:

PECOS PAC ID: 2466711957
Enrollment ID: O20180108002410

Medical Identifiers

Medical identifiers for Southlake Vision Group Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114438017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Southlake Vision Group Pllc acts as a billing entity for following providers:

Provider Name	Yury Ronin
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1255696555 PECOS PAC ID: 5395060610 Enrollment ID: I20150209001313

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. Southlake Vision Group Pllc 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
Southlake Vision Group Pllc 1104 Guadalupe Ct, Colleyville, TX 76034-5885 Ph: (682) 554-2079	Southlake Vision Group Pllc 3004 E Southlake Blvd, Southlake, TX 76092-6618 Ph: (682) 554-2079

Reviews and Comments

Optometrist in Southlake, TX

Christina M Poignard, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1251 E Southlake Blvd Ste 331, Southlake, TX 76092 Phone: 817-663-1770
Tami Lea Hannaman, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3004 E Southlake Blvd, Southlake, TX 76092 Phone: 817-748-2015 Fax: 817-749-2015
Karen Liu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1980 E. State Highway 114, Southlake, TX 76092 Phone: 817-329-2700
Lilit Saakova, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1251 E Southlake Blvd Ste 333, Southlake, TX 76092 Phone: 817-310-0289
Sophia Malani, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1247 Main St, Southlake, TX 76092 Phone: 817-481-2070 Fax: 817-410-9277
Dr. Marcus Aaron Whatley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1247 Main St, Southlake, TX 76092 Phone: 817-481-2070 Fax: 817-410-9277

Southlake Vision Group Pllc - Medicare Optometrist in Southlake, TX