| Dr Alexis R Wylam, OD | |
|
281 Airport Rd, Hazle Township, PA 18202-3320 | |
| (570) 453-2020 | |
| Not Available |
| Full Name | Dr Alexis R Wylam |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 281 Airport Rd, Hazle Township, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275219818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | OEG004023 (Pennsylvania) | Secondary |
| 152W00000X | Optometrist | OEG004023 (Pennsylvania) | Primary |
| Provider Name | Drs Sandra M Krokos & Thomas P Kislan Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487784005 PECOS PAC ID: 6406842202 Enrollment ID: O20040426000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alexis R Wylam, OD 312 Countrywood Dr, Hanover Township, PA 18706-5311 Ph: (570) 606-9234 | Dr Alexis R Wylam, OD 281 Airport Rd, Hazle Township, PA 18202-3320 Ph: (570) 453-2020 |
Courtney Elizabeth Mccall, OD Optometrist Medicare: Medicare Enrolled Practice Location: 281 Airport Rd, Hazle Township, PA 18202 Phone: 570-453-2020 | |
Eagle Optometric Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 578 Susquehanna Blvd, Hazle Township, PA 18202 Phone: 610-310-9946 | |
Dr. James P. Mcavoy, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1201a North Church Street, Suite 100, Hazle Township, PA 18202 Phone: 570-454-6302 Fax: 570-454-3564 | |
Debra A Lehr, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 426 Airport Rd, Hazle Township, PA 18202 Phone: 570-459-9730 | |
Eyeland Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 578 Susquehanna Blvd, Hazle Township, PA 18202 Phone: 570-459-2200 Fax: 570-459-8690 | |
Hazleton Eye Center, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1201a N Church St, Suite 100, Hazle Township, PA 18202 Phone: 570-454-6302 Fax: 570-454-3564 |