Dr Oladipo O Itabiyi, OD | |
1234 Harshaw Rd, Brookhaven, PA 19015-1908 | |
(610) 876-1744 | |
(610) 876-1744 |
Full Name | Dr Oladipo O Itabiyi |
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Gender | Male |
Speciality | Optometrist |
Location | 1234 Harshaw Rd, Brookhaven, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801122114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG002206 (Pennsylvania) | Primary |
Provider Name | Visionworks Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063579837 PECOS PAC ID: 4385639616 Enrollment ID: O20050628000780 |
Mailing Address | Practice Location Address |
---|---|
Dr Oladipo O Itabiyi, OD Po Box 1641, Brookhaven, PA 19015-0641 Ph: (610) 505-9618 | Dr Oladipo O Itabiyi, OD 1234 Harshaw Rd, Brookhaven, PA 19015-1908 Ph: (610) 876-1744 |
Jacqueline Rita De Jesse, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4106 Edgmont Ave, Brookhaven, PA 19015 Phone: 610-872-8989 Fax: 610-872-5220 | |
Craig A. Cassey O D P C Optometrist Medicare: Medicare Enrolled Practice Location: 4590 Edgmont Ave, Brookhaven, PA 19015 Phone: 610-872-6077 Fax: 610-872-2845 | |
Dr. Craig A Cassey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4590 Edgmont Ave, Brookhaven, PA 19015 Phone: 610-872-6077 Fax: 610-872-2845 | |
Gary E. Oliver, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4590 Edgmont Ave, Brookhaven, PA 19015 Phone: 610-872-6077 Fax: 610-872-2845 | |
Brookhaven Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 4106 Edgmont Ave, Brookhaven, PA 19015 Phone: 610-872-8989 Fax: 610-872-5220 |