Dr Marissa Cristina Koopman, OD | |
79 Middleville Rd, Northport, NY 11768-2200 | |
(631) 261-4400 | |
Not Available |
Full Name | Dr Marissa Cristina Koopman |
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Gender | Female |
Speciality | Optometrist |
Location | 79 Middleville Rd, Northport, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922537463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 008625 (New York) | Primary |
Provider Name | Medical Surgical Eye Care Services Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306863097 PECOS PAC ID: 8426942129 Enrollment ID: O20040212000455 |
Provider Name | We Care For Eyes Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538405287 PECOS PAC ID: 3476873811 Enrollment ID: O20150526001917 |
Mailing Address | Practice Location Address |
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Dr Marissa Cristina Koopman, OD 10 Sandpiper Ln, East Islip, NY 11730-3115 Ph: (631) 871-5552 | Dr Marissa Cristina Koopman, OD 79 Middleville Rd, Northport, NY 11768-2200 Ph: (631) 261-4400 |
Candice Distefano, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Brenda Botwinick, OD Optometrist Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Danielle Kalberer, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Optometry Service 123, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Michael Tanenbaum, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 834 Fort Salonga Rd, Northport, NY 11768 Phone: 631-757-4440 Fax: 631-757-4593 | |
Esther Moller, OD Optometrist Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Lynne Colleen Rader, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Arlene L Vazquez Young, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 89 Main St, Northport, NY 11768 Phone: 631-757-6190 Fax: 631-757-4759 |