Dba: Village Visions | |
3986 Jordan Rd, Skaneateles, NY 13152-9401 | |
(315) 685-2020 | |
(315) 685-3337 |
Full Name | Dba: Village Visions |
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Type | Facility |
Speciality | Optometrist |
Location | 3986 Jordan Rd, Skaneateles, 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 |
---|---|---|---|
1164601506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV003192-1 (New York) | Primary |
Provider Name | John J Maurillo |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558353599 PECOS PAC ID: 9335239383 Enrollment ID: I20071214000361 |
Mailing Address | Practice Location Address |
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Dba: Village Visions 3986 Jordan Rd, Po Box 0978, Skaneateles, NY 13152-9401 Ph: (315) 685-2020 | Dba: Village Visions 3986 Jordan Rd, Skaneateles, NY 13152-9401 Ph: (315) 685-2020 |
Dr. Casimir Karol Bobowski, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1342 New Seneca Tpke, Skaneateles, NY 13152 Phone: 315-685-6185 Fax: 315-685-2235 | |
Dr. John J Maurillo Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3986 Jordan Rd, Suite A, Skaneateles, NY 13152 Phone: 315-685-2020 Fax: 315-685-3337 |