Dr Tina Renae Porzukowiak, OD | |
6 Tsienneto Rd Ste 101, Derry, NH 03038-1584 | |
(603) 434-4193 | |
(603) 437-6804 |
Full Name | Dr Tina Renae Porzukowiak |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 6 Tsienneto Rd Ste 101, Derry, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952347080 | NPI | - | NPPES |
3113899 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0973 (New Hampshire) | Primary |
Provider Name | Cigna Healthcare Of Arizona Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043471873 PECOS PAC ID: 1456263573 Enrollment ID: O20031105000515 |
Provider Name | Midwestern University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932206414 PECOS PAC ID: 6305734773 Enrollment ID: O20040308000663 |
Mailing Address | Practice Location Address |
---|---|
Dr Tina Renae Porzukowiak, OD 6 Tsienneto Rd, Ste 101, Derry, NH 03038-1584 Ph: (603) 434-4193 | Dr Tina Renae Porzukowiak, OD 6 Tsienneto Rd Ste 101, Derry, NH 03038-1584 Ph: (603) 434-4193 |
Dr. Brandon Nguyen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6 Tsienneto Rd Ste 101, Derry, NH 03038 Phone: 603-689-3011 | |
Nicole Leo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6 Tsienneto Rd Ste 101, Derry, NH 03038 Phone: 603-434-4193 | |
Dr. Keith Alan Emery, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 55 Crystal Ave, Hood Commons, Derry, NH 03038 Phone: 603-434-2020 Fax: 603-437-1260 | |
Dr. John Michael O'block, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6 Tsienneto Road Suite 101, Derry, NH 03038 Phone: 603-434-4193 Fax: 603-437-6804 | |
Sarah L Wood, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6 Tsienneto Rd, Suite 101, Derry, NH 03038 Phone: 603-434-4193 | |
Opticare Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 55 Crystal Ave, Hood Commons, Derry, NH 03038 Phone: 603-434-2020 Fax: 603-437-1260 | |
Diane J Nelson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 55 Crystal Ave, Hood Commons, Derry, NH 03038 Phone: 603-434-2020 Fax: 603-437-1260 |