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10 A Ely St, Coxsackie, NY 12051-1216 | |
(518) 731-9405 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 10 A Ely St, Coxsackie, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972665701 | NPI | - | NPPES |
59125 | Other | NY | MVP |
10000840M202 | Other | NY | CDPHP |
C198A | Other | NY | EMPIRE BLUE CROSS BLUE SH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV0048681 (New York) | Primary |
Provider Name | John R Hammerer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942498654 PECOS PAC ID: 4284691452 Enrollment ID: I20041222000323 |
Mailing Address | Practice Location Address |
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83 Mansion St, Coxsackie, NY 12051-1216 Ph: (518) 731-9405 | 10 A Ely St, Coxsackie, NY 12051-1216 Ph: (518) 731-9405 |
Dr. John Robert Hammerer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10a Ely St, Coxsackie, NY 12051 Phone: 518-731-9405 |