Interior Eye Center, Llc - Medicare in Fairbanks, AK

Interior Eye Center, Llc is a medicare enrolled "Ophthalmology" provider in Fairbanks, Alaska. Their current practice location is 1405 Kellum St Ste 300, Fairbanks, Alaska. You can reach out to their office (for appointments etc.) via phone at (907) 479-2020.

Interior Eye Center, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Interior Eye Center, Llc 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 1568107670.

Contact Information

Interior Eye Center, Llc
1405 Kellum St Ste 300,
Fairbanks, AK 99701-4189
(907) 479-2020
Not Available



Healthcare Provider's Profile

Full NameInterior Eye Center, Llc
TypeFacility
SpecialityOphthalmology
Location1405 Kellum St Ste 300, Fairbanks, Alaska
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568107670
  • Provider Enumeration Date: 05/03/2022
  • Last Update Date: 07/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062895170
  • Enrollment ID: O20220822002167

Medical Identifiers

Medical identifiers for Interior Eye Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568107670NPI-NPPES
2161194OtherAKSTATE OF ALASKA BUSINESS LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
156FX1800XTechnician/technologist - Optician (* (Not Available))Secondary
207W00000XOphthalmology (* (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. Interior Eye Center, Llc acts as a billing entity for following providers:
Provider NameStanley R Fuller
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1396034658
PECOS PAC ID: 8325355167
Enrollment ID: I20150911000561

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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. Interior Eye Center, Llc 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 AddressPractice Location Address
Interior Eye Center, Llc
1405 Kellum St Ste 300,
Fairbanks, AK 99701-4189

Ph: (907) 370-3966
Interior Eye Center, Llc
1405 Kellum St Ste 300,
Fairbanks, AK 99701-4189

Ph: (907) 479-2020

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