Kristen Midori Omi, | |
900 Washington Rd, West Point, NY 10996-1109 | |
(845) 938-2206 | |
Not Available |
Full Name | Kristen Midori Omi |
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Gender | Female |
Speciality | Optometrist |
Location | 900 Washington Rd, West Point, 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 |
---|---|---|---|
1467003061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT34345-TLG (California) | Primary |
Provider Name | Hansra Optometric Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679262158 PECOS PAC ID: 2163881913 Enrollment ID: O20230711003128 |
Mailing Address | Practice Location Address |
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Kristen Midori Omi, 6 Hammond Plz, Beacon, NY 12508-3139 Ph: () - | Kristen Midori Omi, 900 Washington Rd, West Point, NY 10996-1109 Ph: (845) 938-2206 |
Dr. James D Carrell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 900 Washington Rd, Credential's Office, Kach, West Point, NY 10996 Phone: 845-938-2021 | |
Dr. Adam David Jackler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 900 Washington Rd, West Point, NY 10996 Phone: 845-938-2206 | |
Louie L Le, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 900 Washington Rd, Keller Army Community Hospital, Attn: Mcud-opt, West Point, NY 10996 Phone: 845-938-2021 Fax: 845-938-7195 |