Aeg Massachusetts Professional Pc | |
15 Central St, Andover, MA 01810-3718 | |
(978) 475-5252 | |
(314) 741-4947 |
Full Name | Aeg Massachusetts Professional Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 15 Central St, Andover, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952035040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Stephen J Harney |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124029269 PECOS PAC ID: 4880665330 Enrollment ID: I20040805001417 |
Provider Name | Paul Levine |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013977685 PECOS PAC ID: 3375509276 Enrollment ID: I20041203000549 |
Provider Name | Elise F Damiano |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609935725 PECOS PAC ID: 8820054216 Enrollment ID: I20041207001151 |
Provider Name | John M Abbondanza |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902992886 PECOS PAC ID: 8820054729 Enrollment ID: I20041213000073 |
Provider Name | Emily H Pilotte |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235355199 PECOS PAC ID: 4981658929 Enrollment ID: I20050311000741 |
Provider Name | Ronald K Watanabe |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942200316 PECOS PAC ID: 1951326669 Enrollment ID: I20051012000210 |
Provider Name | Joel B Hayden |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245308733 PECOS PAC ID: 9931117496 Enrollment ID: I20060327000155 |
Provider Name | Tatyana I Katz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699887323 PECOS PAC ID: 3476559071 Enrollment ID: I20061004000354 |
Provider Name | Sherry Audycki |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679559108 PECOS PAC ID: 4385641018 Enrollment ID: I20061023000148 |
Provider Name | John Allen Child |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346301033 PECOS PAC ID: 6800990540 Enrollment ID: I20070405000105 |
Provider Name | Joseph Michael Niro |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922044916 PECOS PAC ID: 1658469820 Enrollment ID: I20071123000002 |
Provider Name | Theresa J Ruggiero |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578640678 PECOS PAC ID: 9032287974 Enrollment ID: I20081006000507 |
Provider Name | Suraj S Afshar |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578714150 PECOS PAC ID: 9133282361 Enrollment ID: I20090113000915 |
Provider Name | Suzanne M Rosenberg |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275799223 PECOS PAC ID: 6608930557 Enrollment ID: I20090122000027 |
Provider Name | Christopher A Karalekas |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043212087 PECOS PAC ID: 7719041557 Enrollment ID: I20090123000058 |
Provider Name | Steven Sikalis |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427034263 PECOS PAC ID: 4880758648 Enrollment ID: I20090123000170 |
Provider Name | Anupama Sehgal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730248261 PECOS PAC ID: 8628128634 Enrollment ID: I20090615000038 |
Provider Name | Florence B Bahtiarian |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427080191 PECOS PAC ID: 6002949039 Enrollment ID: I20100728000450 |
Provider Name | Robert A Audycki |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689673428 PECOS PAC ID: 5890963375 Enrollment ID: I20110728000244 |
Provider Name | Noreen B Marron Curdo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639297245 PECOS PAC ID: 6507029303 Enrollment ID: I20120515000013 |
Provider Name | Deanna K Lahey |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831539386 PECOS PAC ID: 3678709326 Enrollment ID: I20131202001213 |
Provider Name | John P Deshaies |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275942419 PECOS PAC ID: 5294954491 Enrollment ID: I20140922000815 |
Provider Name | Elizabeth B Hannigan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417359696 PECOS PAC ID: 8123392453 Enrollment ID: I20170925002448 |
Provider Name | Naomi G Clay |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225585524 PECOS PAC ID: 7214201599 Enrollment ID: I20170926000777 |
Provider Name | Nadia S Zalatimo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790747590 PECOS PAC ID: 3577793843 Enrollment ID: I20171201002029 |
Provider Name | Michelle Marie Durand Straube |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740577543 PECOS PAC ID: 8628247889 Enrollment ID: I20181119000690 |
Provider Name | Graham Stetson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184285801 PECOS PAC ID: 4789003567 Enrollment ID: I20200928002432 |
Provider Name | Lin Ma Chia |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578995866 PECOS PAC ID: 2961870308 Enrollment ID: I20221116001841 |
Provider Name | Samuel White |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760166656 PECOS PAC ID: 5092164178 Enrollment ID: I20231214002201 |
Mailing Address | Practice Location Address |
---|---|
Aeg Massachusetts Professional Pc 111 E 4th St Ste 440, Alton, IL 62002-6241 Ph: (618) 462-9818 | Aeg Massachusetts Professional Pc 15 Central St, Andover, MA 01810-3718 Ph: (978) 475-5252 |
John Deshaies, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 | |
Andover Optometry On Central Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 | |
Casazza Optometric Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 | |
Dr. Catherine A Bergschneider, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 | |
Andover Eye Asociates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 138 Haverhill St, Suite 104, Andover, MA 01810 Phone: 978-475-0708 Fax: 978-475-0008 | |
Gladys Mayancela Pichizaca, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 | |
Dr. Ronald Kiyoshi Watanabe, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 |