Tristan L Wild Od Pllc in Lakeway, TX - Medicare Optometrist Provider

Tristan L Wild Od Pllc is a medicare enrolled "Optometrist" provider in Lakeway, Texas. Their current practice location is 1700 Ranch Road 620 S Ste A, Lakeway, Texas. You can reach out to their office (for appointments etc.) via phone at (512) 263-9970.

Tristan L Wild Od Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Tristan L Wild Od 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 1548917172.

Contact Information

	Tristan L Wild Od Pllc
	1700 Ranch Road 620 S Ste A, Lakeway, TX 78734-6246
	(512) 263-9970
	(512) 895-9903

Map and Direction

Healthcare Provider's Profile

Full Name	Tristan L Wild Od Pllc
Type	Facility
Speciality	Optometrist
Location	1700 Ranch Road 620 S Ste A, Lakeway, Texas
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548917172
Provider Enumeration Date: 03/03/2022
Last Update Date: 03/03/2022

Medicare PECOS Information:

PECOS PAC ID: 9830584226
Enrollment ID: O20220322001371

Medical Identifiers

Medical identifiers for Tristan L Wild Od Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548917172	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. Tristan L Wild Od Pllc acts as a billing entity for following providers:

Provider Name	Nancy A Stehlik Amador
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1487766424 PECOS PAC ID: 0648221093 Enrollment ID: I20050203000188

Provider Name	Tristan L Wild
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1164656716 PECOS PAC ID: 9830236280 Enrollment ID: I20091016000553

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. Tristan L Wild Od 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
Tristan L Wild Od Pllc 1700 Ranch Road 620 S Ste A, Lakeway, TX 78734-6246 Ph: (512) 263-9970	Tristan L Wild Od Pllc 1700 Ranch Road 620 S Ste A, Lakeway, TX 78734-6246 Ph: (512) 263-9970

Reviews and Comments

Optometrist in Lakeway, TX

Mozdbar Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 900 Ranch Road 620 S Ste B112, Lakeway, TX 78734 Phone: 512-263-0225
Lakeway Vision Associates P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1700a Rr 620 S # A, Lakeway, TX 78734 Phone: 512-263-9970
Dr. Tristan Leigh Wild, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 Ranch Road 620 S, #a, Lakeway, TX 78734 Phone: 512-263-9970
Waleed M El-hitamy, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 900 Ranch Road 620 S, B112, Lakeway, TX 78734 Phone: 512-263-0225 Fax: 512-263-8590
Dr. Nancy Ann Stehlik-amador, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 Ranch Road 620 S Ste A, Lakeway, TX 78734 Phone: 512-263-9970 Fax: 512-263-9954
Dr. Sima Taj Mozdbar, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 900 Ranch Road 620 S Ste B112, Lakeway, TX 78734 Phone: 512-263-0225

Tristan L Wild Od Pllc - Medicare Optometrist in Lakeway, TX