| |
61 Front St, Millbrook, NY 12545-5961 | |
(845) 677-5012 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 61 Front St, Millbrook, 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 |
---|---|---|---|
1801188776 | NPI | - | NPPES |
TUV0063211 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV006321-1 (New York) | Primary |
Provider Name | Vernon A Peryea |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376505396 PECOS PAC ID: 7416848304 Enrollment ID: I20040322000678 |
Mailing Address | Practice Location Address |
---|---|
Po Box 426, Hopewell, NY 12533-0426 Ph: (845) 221-5310 | 61 Front St, Millbrook, NY 12545-5961 Ph: (845) 677-5012 |
Millbrook Family Eyecare, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 61 Front St, Millbrook, NY 12545 Phone: 845-677-5012 Fax: 845-677-5024 |