Mount Vernon Vision Source Ps Inc - Medicare Optometrist in Mount Vernon, WA

Mount Vernon Vision Source Ps Inc is a medicare enrolled "Optometrist" provider in Mount Vernon, Washington. Their current practice location is 1616 N 18th St Ste 104, Mount Vernon, Washington. You can reach out to their office (for appointments etc.) via phone at (360) 424-4181.

Mount Vernon Vision Source Ps Inc is licensed to practice in Washington (license number OD00003502) and it also participates in the medicare program. Mount Vernon Vision Source Ps Inc 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 1093912933.

Contact Information

Mount Vernon Vision Source Ps Inc
1616 N 18th St Ste 104,
Mount Vernon, WA 98273-2600
(360) 424-4181
(360) 424-6414



Healthcare Provider's Profile

Full NameMount Vernon Vision Source Ps Inc
TypeFacility
SpecialityOptometrist
Location1616 N 18th St Ste 104, Mount Vernon, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093912933
  • Provider Enumeration Date: 07/02/2007
  • Last Update Date: 10/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2769796093
  • Enrollment ID: O20150730013710

Medical Identifiers

Medical identifiers for Mount Vernon Vision Source Ps Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093912933NPI-NPPES
2024057MedicaidWA
410044967OtherWARR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OD00003502 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mount Vernon Vision Source Ps Inc acts as a billing entity for following providers:
Provider NameTod W Jones
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235200429
PECOS PAC ID: 3577461664
Enrollment ID: I20100922001134

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Provider NameRajveer Singh Minhas
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1538427851
PECOS PAC ID: 3870964299
Enrollment ID: I20230123002367

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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. Mount Vernon Vision Source Ps Inc 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
Mount Vernon Vision Source Ps Inc
1616 N 18th St Ste 104,
Mount Vernon, WA 98273-2600

Ph: (360) 424-4181
Mount Vernon Vision Source Ps Inc
1616 N 18th St Ste 104,
Mount Vernon, WA 98273-2600

Ph: (360) 424-4181

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Optometrist in Mount Vernon, WA

Dr. Maria Van-nurden, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Little Mountain Ln, Mount Vernon, WA 98274
Phone: 360-416-6735    Fax: 360-424-6954
Northwest Eye Surgeons
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1306 Roosevelt Ave, Mount Vernon, WA 98273
Phone: 360-428-2020    Fax: 360-428-6918
Paul C Jubb O.d.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2301 Freeway Dr, Mount Vernon, WA 98273
Phone: 360-428-5033    
Dr. Tod W Jones, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1616 N 18th St Ste 104, Mount Vernon, WA 98273
Phone: 360-424-4181    Fax: 360-424-6414
Dr. Paul Clarence Jubb, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2301 Freeway Dr, Mount Vernon, WA 98273
Phone: 360-482-5033    
Dr. Roslyn Kathleen Howell, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Little Mountain Ln, Mount Vernon, WA 98274
Phone: 360-416-6735    

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