Vladislav Ivanchenko, OD in Canton, GA - Medicare Optometrist Provider

Vladislav Ivanchenko, OD is a medicare enrolled "Optometrist" provider in Canton, Georgia. His current practice location is 2030 Cumming Hwy Ste 106, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 493-2220.

Vladislav Ivanchenko is licensed to practice in Georgia (license number OPT003096) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497210009.

Contact Information

	Vladislav Ivanchenko, OD
	2030 Cumming Hwy Ste 106, Canton, GA 30115-8009
	(678) 493-2220
	(678) 493-4832

Map and Direction

Healthcare Provider's Profile

Full Name	Vladislav Ivanchenko
Gender	Male
Speciality	Optometrist
Location	2030 Cumming Hwy Ste 106, Canton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497210009
Provider Enumeration Date: 02/07/2019
Last Update Date: 07/18/2025

Medicare PECOS Information:

PECOS PAC ID: 4385175926
Enrollment ID: I20241007001711

Medical Identifiers

Medical identifiers for Vladislav Ivanchenko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497210009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT003096 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Vladislav Ivanchenko allows following entities to bill medicare on his behalf.

Provider Name	Leiv M Takle Md Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568665404 PECOS PAC ID: 2062400286 Enrollment ID: O20040505000509

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. Vladislav Ivanchenko 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
Vladislav Ivanchenko, OD 2002 Millington Ln, Jacksonville, FL 32246-1386 Ph: () -	Vladislav Ivanchenko, OD 2030 Cumming Hwy Ste 106, Canton, GA 30115-8009 Ph: (678) 493-2220

Reviews and Comments

Optometrist in Canton, GA

Family First Vision Care Georgia Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1455 Riverstone Pkwy Ste 110, Canton, GA 30114 Phone: 770-479-0500
Marc Sacha Helmy, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1455 Riverstone Pkwy, Canton, GA 30114 Phone: 770-479-0123 Fax: 770-720-0104
Dr. Crystal Mizell, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2030 Cumming Hwy Ste 106, Canton, GA 30115 Phone: 678-493-2220 Fax: 678-493-4832
Myeyedr Optometry Of Georgia, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 217 Riverstone Dr, Canton, GA 30114 Phone: 770-345-5220 Fax: 770-479-5011
American Optical Services Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3760 Sixes Rd, Canton, GA 30114 Phone: 770-345-3120 Fax: 770-345-3402
Happy Eyes Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 112a Riverstone Pkwy, Canton, GA 30114 Phone: 770-874-2020
Dr. Brian Gregory Shipley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 217 Riverstone Dr, Canton, GA 30114 Phone: 770-345-5220 Fax: 770-479-5011

Vladislav Ivanchenko, OD - Medicare Optometrist in Canton, GA