Nina Mithi Taggart, MD | |
1720 E Broad St, Hazleton, PA 18201-5622 | |
(570) 455-3391 | |
(570) 455-9150 |
Full Name | Nina Mithi Taggart |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Location | 1720 E Broad St, Hazleton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780643684 | NPI | - | NPPES |
001432771 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD047373L (Pennsylvania) | Primary |
Entity Name | Eye Care Specialists, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215997879 PECOS PAC ID: 4981517257 Enrollment ID: O20031112000145 |
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 |
---|---|
Nina Mithi Taggart, MD 703 Rutter Ave, Kingston, PA 18704-4801 Ph: (570) 288-7405 | Nina Mithi Taggart, MD 1720 E Broad St, Hazleton, PA 18201-5622 Ph: (570) 455-3391 |
Nicholas J Barna, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1060 N Church St, Hazleton, PA 18202 Phone: 570-459-9927 Fax: 570-459-9923 | |
Deepak Dave, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 78 North Church Street, Hazleton, PA 18201 Phone: 570-459-6666 Fax: 570-459-5386 | |
Agapito Lopez Rivera, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 26 E Elm St, Hazleton, PA 18201 Phone: 570-956-9302 Fax: 570-501-8454 |