| Fine & Park Llc | |
|
578 Broadway, Kingston, NY 12401-3942 | |
| (845) 331-1212 | |
| (845) 338-3483 |
| Full Name | Fine & Park Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 578 Broadway, Kingston, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275769721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV0034421 (New York) | Primary |
| Provider Name | Stephen J Fine |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003812223 PECOS PAC ID: 3971402264 Enrollment ID: I20040106000396 |
| Provider Name | John T Mckinney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306996632 PECOS PAC ID: 2567437619 Enrollment ID: I20040831001595 |
| Provider Name | Wayne T Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114913639 PECOS PAC ID: 7113930769 Enrollment ID: I20060726000273 |
| Provider Name | Mary Elizabeth O'hara |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033399795 PECOS PAC ID: 8224170519 Enrollment ID: I20100127000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Fine & Park Llc 578 Broadway, Kingston, NY 12401-3942 Ph: (845) 331-1212 | Fine & Park Llc 578 Broadway, Kingston, NY 12401-3942 Ph: (845) 331-1212 |
Dr. Vardaan Sood, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9 Boices Ln, Empire Vision Centres, Kingston, NY 12401 Phone: 845-336-3937 | |
Dr. Stephen J Fine, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 576-578 Broadway, Kingston, NY 12401 Phone: 845-331-1212 Fax: 845-338-3483 | |
Dr. Taylor Michael Davis, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1300 Ulster Ave Ste 122, Kingston, NY 12401 Phone: 184-533-6587 | |
Dr. Mary Elizabeth O'hara, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 578 Broadway, Kingston, NY 12401 Phone: 845-338-7444 Fax: 845-338-3483 | |
Augustus Guarente Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 240 Lucas Ave, Kingston, NY 12401 Phone: 845-339-4990 Fax: 845-339-5001 | |
Ambient Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1329 Sawkill Rd, Kingston, NY 12401 Phone: 917-292-1271 | |
Milton Chasin Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 240 Lucas Ave, Kingston, NY 12401 Phone: 845-339-4990 Fax: 845-339-5001 |