Eyedentity Vision Optometry - Medicare Primary Care in San Francisco, CA

Eyedentity Vision Optometry is a medicare enrolled primary clinic (Clinic/center) in San Francisco, California. The current practice location for Eyedentity Vision Optometry is 2786 Diamond St, San Francisco, California. For appointments, you can reach them via phone at (415) 334-2020. The mailing address for Eyedentity Vision Optometry is 2786 Diamond St, San Francisco, California and phone number is (415) 334-2020.

Eyedentity Vision Optometry is licensed to practice in California (license number 12604). The clinic also participates in the medicare program and its NPI number is 1255514642. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (415) 334-2020.

Contact Information

Eyedentity Vision Optometry
2786 Diamond St
San Francisco
CA 94131-3057
(415) 334-2020
(415) 681-9268

Primary Care Clinic Profile

Full NameEyedentity Vision Optometry
SpecialityClinic/Center
Location2786 Diamond St, San Francisco, California
Authorized Official Name and PositionCarrie Lee (PRESIDENT)
Authorized Official Contact4153342020
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eyedentity Vision Optometry
2786 Diamond St
San Francisco
CA 94131-3057

Ph: (415) 334-2020
Eyedentity Vision Optometry
2786 Diamond St
San Francisco
CA 94131-3057

Ph: (415) 334-2020

NPI Details:

NPI Number1255514642
Provider Enumeration Date12/09/2007
Last Update Date10/11/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4385723725
Medicare Enrollment IDO20080509000271

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Medical Identifiers

Medical identifiers for Eyedentity Vision Optometry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255514642NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 12604 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eyedentity Vision Optometry acts as a billing entity for following providers:
Provider NameCarrie Lee
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1760474142
PECOS PAC ID: 3375523848
Enrollment ID: I20040723001054

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