| Gretchen J Brewer, Od & Associates, Inc | |
|
2329 Cottman Ave, Roosevelt Mall, Philadelphia, PA 19149 | |
| (215) 332-7228 | |
| (215) 332-9337 |
| Full Name | Gretchen J Brewer, Od & Associates, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2329 Cottman Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386731727 | NPI | - | NPPES |
| 01975355 | Medicaid | PA | |
| 1354192 | Other | PA | PERSONAL CHOICE BLUE CHOI |
| 2051170000 | Other | PA | KEYSTONE HEALTHPLAN EAST |
| 2988538 | Other | PW | AETNA |
| GR1354192 | Other | PA | PA BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Georgietta Gdovin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518060482 PECOS PAC ID: 2668360546 Enrollment ID: I20040310001121 |
| Provider Name | Gretchen Brewer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235226671 PECOS PAC ID: 6305975855 Enrollment ID: I20100521000688 |
| Provider Name | Dayna R Luckey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164710612 PECOS PAC ID: 2567631534 Enrollment ID: I20110808000793 |
| Provider Name | Roslyn Kushner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295768653 PECOS PAC ID: 7911935655 Enrollment ID: I20120523000279 |
| Provider Name | Byung Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790072015 PECOS PAC ID: 3678712403 Enrollment ID: I20130626000785 |
| Provider Name | Marissa Anne Soisson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366999641 PECOS PAC ID: 5294017208 Enrollment ID: I20170127001603 |
| Provider Name | Erin Kathleen Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942651443 PECOS PAC ID: 6709154495 Enrollment ID: I20170621002801 |
| Provider Name | Leanne Laporte |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891295333 PECOS PAC ID: 3678836244 Enrollment ID: I20180412001045 |
| Provider Name | Kathryn Ann Hopper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205493111 PECOS PAC ID: 5092042523 Enrollment ID: I20190807000653 |
| Provider Name | Jacqueline Ann Molinda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154811966 PECOS PAC ID: 3072943588 Enrollment ID: I20200424001396 |
| Provider Name | Cristina Rosano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609490432 PECOS PAC ID: 4688097231 Enrollment ID: I20200715000547 |
| Provider Name | Kyle W Nichols |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225652654 PECOS PAC ID: 7719303585 Enrollment ID: I20200812000091 |
| Provider Name | Jessica T Do |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053935908 PECOS PAC ID: 5092135046 Enrollment ID: I20201014000291 |
| Provider Name | Shilpi Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720305568 PECOS PAC ID: 9032365234 Enrollment ID: I20210810001368 |
| Provider Name | Christopher James Pentes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144955469 PECOS PAC ID: 2769866045 Enrollment ID: I20220906001623 |
| Mailing Address | Practice Location Address |
|---|---|
| Gretchen J Brewer, Od & Associates, Inc 2329 Cottman Ave, Roosevelt Mall, Philadelphia, PA 19149 Ph: (215) 332-7228 | Gretchen J Brewer, Od & Associates, Inc 2329 Cottman Ave, Roosevelt Mall, Philadelphia, PA 19149 Ph: (215) 332-7228 |
Nia Phillips, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-6096 | |
Daniel Hoffman, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Carlo J Pelino, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Jean Marie Pagani, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-6167 | |
Angela Tempesta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 180 W Girard Ave, Philadelphia, PA 19123 Phone: 215-554-6222 | |
Elizabeth Marie Marunde, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Melissa A Vitek, OPTOMETRIST Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 |