Jerome Earl Brislin, OD is a
Optometrist based in Parish, New York. Jerome Earl Brislin is licensed to practice in New York (license number 002464) and his current practice location is
577 Dutch Hill Rd, Parish, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 625-7533.
NPI number for Jerome Earl Brislin is 1619000353 and his current mailing address is 577 Dutch Hill Rd, Parish, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619000353.
Healthcare Provider's Profile
| Full Name | Jerome Earl Brislin |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 577 Dutch Hill Rd, Parish, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619000353
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jerome Earl Brislin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619000353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 002464 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerome Earl Brislin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jerome Earl Brislin, OD
577 Dutch Hill Rd,
Parish, NY 13131-3167
Ph: (315) 625-7533 | Jerome Earl Brislin, OD
577 Dutch Hill Rd,
Parish, NY 13131-3167
Ph: (315) 625-7533 |
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