Successful Vision Corp is a medicare enrolled "Optometrist" provider in Pelham, New York. Their current practice location is
106 Fifth Ave, Pelham, New York. You can reach out to their office (for appointments etc.) via phone at
(914) 235-5068.
Successful Vision Corp is licensed to practice in New York (license number 184913) and it also participates in the medicare program. Successful Vision Corp
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 1730617614.
Healthcare Provider's Profile
| Full Name | Successful Vision Corp |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 106 Fifth Ave, Pelham, 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. |
NPI Data:
- NPI Number: 1730617614
- Provider Enumeration Date: 05/23/2017
- Last Update Date: 04/22/2026
Medicare PECOS Information:
- PECOS PAC ID: 5496028219
- Enrollment ID: O20170830001168
Medical Identifiers
Medical identifiers for Successful Vision Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730617614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 184913 (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.
Successful Vision Corp acts as a billing entity for following providers:
| Provider Name | Reyna M Betances |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1750955779 PECOS PAC ID: 0840693909 Enrollment ID: I20210727001960 |
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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. Successful Vision Corp 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 |
Successful Vision Corp 106 Fifth Ave, Pelham, NY 10803-1504 Ph: (914) 235-5068 | Successful Vision Corp 106 Fifth Ave, Pelham, NY 10803-1504 Ph: (914) 235-5068 |
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