Vision Clinic is a medicare enrolled "Optometrist" provider in Keokuk, Iowa. Their current practice location is
1813 Main St, Keokuk, Iowa. You can reach out to their office (for appointments etc.) via phone at
(319) 524-3651.
Vision Clinic is licensed to practice in Iowa (license number 1719) and it also participates in the medicare program. Vision Clinic
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 1215008164.
Healthcare Provider's Profile
| Full Name | Vision Clinic |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1813 Main St, Keokuk, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215008164
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 12/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 8426175530
- Enrollment ID: O20130117000013
Medical Identifiers
Medical identifiers for Vision Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215008164 | NPI | - | NPPES |
| 1900894 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1719 (Iowa) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Vision Clinic acts as a billing entity for following providers:
| Provider Name | Larry D Peck |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1730174129
PECOS PAC ID: 2769446012
Enrollment ID: I20041116000810 |
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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. Vision Clinic 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 |
|---|
Vision Clinic
1813 Main St,
Keokuk, IA 52632-3326
Ph: (319) 524-3651 | Vision Clinic
1813 Main St,
Keokuk, IA 52632-3326
Ph: (319) 524-3651 |
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