Vivid Eyecare Pllc is a medicare enrolled "Optometrist" provider in Nowata, Oklahoma. Their current practice location is
307 S Locust St Ste B, Nowata, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(918) 559-3257.
Vivid Eyecare Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Vivid Eyecare 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 1295514917.
Healthcare Provider's Profile
| Full Name | Vivid Eyecare Pllc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 307 S Locust St Ste B, Nowata, Oklahoma |
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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: 1295514917
- Provider Enumeration Date: 09/22/2023
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658723689
- Enrollment ID: O20240116001228
Medical Identifiers
Medical identifiers for Vivid Eyecare Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295514917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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.
Vivid Eyecare Pllc acts as a billing entity for following providers:
| Provider Name | Caitlyn Marie Mefford |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1467006296
PECOS PAC ID: 5395074561
Enrollment ID: I20190912003385 |
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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. Vivid Eyecare 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 |
|---|
Vivid Eyecare Pllc
307 S Locust St,
Nowata, OK 74048-3622
Ph: (918) 559-3257 | Vivid Eyecare Pllc
307 S Locust St Ste B,
Nowata, OK 74048-3622
Ph: (918) 559-3257 |
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