Dr Theodore Mark Ingis, MD | |
46 Daggett Dr, West Springfield, MA 01089-4638 | |
(413) 733-2260 | |
Not Available |
Full Name | Dr Theodore Mark Ingis |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 46 Daggett Dr, West Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316908288 | NPI | - | NPPES |
2089009 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 41139 (Massachusetts) | Primary |
Entity Name | Franklin Eye Care Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083670574 PECOS PAC ID: 2264336866 Enrollment ID: O20031125000423 |
Entity Name | Longwood Eye Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649875964 PECOS PAC ID: 0143632802 Enrollment ID: O20201222001483 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore Mark Ingis, MD 33 Riddell St, Greenfield, MA 01301-2025 Ph: (413) 733-2260 | Dr Theodore Mark Ingis, MD 46 Daggett Dr, West Springfield, MA 01089-4638 Ph: (413) 733-2260 |
Dr. Cris Martin Pacis Jacoba, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 180 Daggett Dr, West Springfield, MA 01089 Phone: 413-452-4111 | |
Brigette Lynn Cole, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 180 Daggett Dr, West Springfield, MA 01089 Phone: 413-286-2020 Fax: 503-494-4286 |