Amanda Mammano, OD | |
110 Mercer St, New York, NY 10012-3865 | |
(212) 431-4440 | |
(212) 431-4404 |
Full Name | Amanda Mammano |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 10 Years |
Location | 110 Mercer St, New York, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053795922 | NPI | - | NPPES |
13584891 | Other | PA | CAQH NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG003061 (Pennsylvania) | Secondary |
152W00000X | Optometrist | TUV008412 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sight Services Pc | 7315263365 | 7 |
Provider Name | Sight Services Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255720124 PECOS PAC ID: 7315263365 Enrollment ID: O20150310001097 |
Mailing Address | Practice Location Address |
---|---|
Amanda Mammano, OD 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 Ph: (215) 276-6173 | Amanda Mammano, OD 110 Mercer St, New York, NY 10012-3865 Ph: (212) 431-4440 |
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