Dr Sergei N Petrochko, OD | |
17 Main Street, Binghamton, NY 13905 | |
(607) 723-8354 | |
(607) 723-9017 |
Full Name | Dr Sergei N Petrochko |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 17 Main Street, Binghamton, 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 |
---|---|---|---|
1538239470 | NPI | - | NPPES |
01482897 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 005330 (New York) | Primary |
Provider Name | Empire Vision Center Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750358826 PECOS PAC ID: 4688573876 Enrollment ID: O20040107000405 |
Mailing Address | Practice Location Address |
---|---|
Dr Sergei N Petrochko, OD 631 Valleyview Drive, Endwell, NY 13760-2550 Ph: (607) 786-3741 | Dr Sergei N Petrochko, OD 17 Main Street, Binghamton, NY 13905 Ph: (607) 723-8354 |
A.v.r.e. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 174 Court St, Binghamton, NY 13901 Phone: 607-724-2428 Fax: 607-771-8045 | |
Emily Rose Lidell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 33 Mitchell Ave Ste 207, Binghamton, NY 13903 Phone: 160-772-3758 Fax: 607-723-7586 | |
Haley Catherine Calleo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1159 Vestal Ave, Binghamton, NY 13903 Phone: 607-722-1755 | |
Twin Tiers Eye Care Associates, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1159 Vestal Ave, Binghamton, NY 13903 Phone: 607-722-1755 Fax: 607-398-3410 | |
Richard Raymond Socash, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1159 Vestal Ave, Binghamton, NY 13903 Phone: 607-722-1755 Fax: 607-398-3410 | |
Guthrie Medical Group Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1159 Vestal Ave, Binghamton, NY 13903 Phone: 607-722-1755 |