Katherine Gut, OD, | |
114 Java St, Brooklyn, NY 11222-1644 | |
(718) 389-9266 | |
Not Available |
Full Name | Katherine Gut |
---|---|
Gender | Female |
Speciality | Optometrist - Corneal And Contact Management |
Location | 114 Java St, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750667929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | TUV007771-1 (New York) | Primary |
Provider Name | Eye Q Optical Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013197433 PECOS PAC ID: 9739143637 Enrollment ID: O20041118001075 |
Mailing Address | Practice Location Address |
---|---|
Katherine Gut, OD, 114 Java St, Brooklyn, NY 11222-1644 Ph: (718) 389-9266 | Katherine Gut, OD, 114 Java St, Brooklyn, NY 11222-1644 Ph: (718) 389-9266 |
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