Grand Island Optical PC

A Medicare group practice based in Aurora, NE: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5799752150), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5799752150The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
NE
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040914001318 NE Part B Supplier - Clinic/Group Practice 1891771051
O20100930093272 NE DME Supplier - Physician - Optometrist 1891771051
O20100930010298 NE DME Supplier - Physician - Optometrist 1942520614

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (6).

Sources for this page