Provision Llc - Medicare Optometrist in South Charleston, WV

Provision Llc is a medicare enrolled "Optometrist" provider in South Charleston, West Virginia. Their current practice location is 306 Southridge Blvd, South Charleston, West Virginia. You can reach out to their office (for appointments etc.) via phone at (304) 744-4017.

Provision Llc is licensed to practice in West Virginia (license number 2030-IOD) and it also participates in the medicare program. Provision 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 1609312537.

Contact Information

Provision Llc
306 Southridge Blvd,
South Charleston, WV 25309-9434
(304) 744-4017
(304) 744-4018



Healthcare Provider's Profile

Full NameProvision Llc
TypeFacility
SpecialityOptometrist
Location306 Southridge Blvd, South Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609312537
  • Provider Enumeration Date: 01/17/2017
  • Last Update Date: 10/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8820364748
  • Enrollment ID: O20171020001787

Medical Identifiers

Medical identifiers for Provision Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609312537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2030-IOD (West Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Provision Llc acts as a billing entity for following providers:
Provider NameSummer D Jones
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992131627
PECOS PAC ID: 2567690712
Enrollment ID: I20140114001692

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Provider NameDavid J Beecher
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093950834
PECOS PAC ID: 0547323099
Enrollment ID: I20170522002084

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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. Provision 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
Provision Llc
306 Southridge Blvd,
South Charleston, WV 25309-9434

Ph: (304) 744-4017
Provision Llc
306 Southridge Blvd,
South Charleston, WV 25309-9434

Ph: (304) 744-4017

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Optometrist in South Charleston, WV

Dr. Louis J Stanley, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 306 Southridge Blvd, South Charleston, WV 25309
Phone: 304-744-4017    
Advanced Eye Care Center
Optometrist
Medicare: Medicare Enrolled
Practice Location: 4030 Maccorkle Ave Sw, South Charleston, WV 25309
Phone: 304-766-2220    Fax: 304-766-0824
Sarah Yates Taylor, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 415 D St, South Charleston, WV 25303
Phone: 304-744-1303    Fax: 304-744-1316
Travis Taylor, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 415 D St, South Charleston, WV 25303
Phone: 304-744-1303    Fax: 304-744-1316
Eyecareone
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4008 Maccorkle Ave Sw, South Charleston, WV 25309
Phone: 304-744-9533    
Dr. Elicia Beth Miller, O.D.
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 4030 Maccorkle Ave Sw, South Charleston, WV 25309
Phone: 304-766-2220    Fax: 304-766-0824
Mrs. Rebecca V St Jean, OD
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 4030 Maccorkle Ave Sw, South Charleston, WV 25309
Phone: 304-766-2220    Fax: 304-766-0824

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