Michael Fasano, | |
703 Rutter Ave, Kingston, PA 18704-4801 | |
(570) 288-7405 | |
(570) 288-7406 |
Full Name | Michael Fasano |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 703 Rutter Ave, Kingston, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548827918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | OS022889 (Pennsylvania) | Primary |
Entity Name | Vision Innovation Centers Of Pa Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962046458 PECOS PAC ID: 0840625349 Enrollment ID: O20200110000050 |
Mailing Address | Practice Location Address |
---|---|
Michael Fasano, 703 Rutter Ave, Kingston, PA 18704-4801 Ph: (570) 288-7405 | Michael Fasano, 703 Rutter Ave, Kingston, PA 18704-4801 Ph: (570) 288-7405 |
Erik Forrest Kruger, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406 | |
Richard E Roth, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406 | |
Harvey James Reiser, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406 | |
Dr. Daniel J Lutz, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406 | |
Robert George Szulborski, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406 | |
Donald Joseph Savage, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406 |