Main Street Optometry | |
89 Main St, Northport, NY 11768-1742 | |
(631) 757-6190 | |
(631) 757-4759 |
Full Name | Main Street Optometry |
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Type | Facility |
Speciality | Optometrist |
Location | 89 Main St, Northport, 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 |
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1679748941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | TUV004955-1 (New York) | Primary |
Provider Name | Arlene L Vazquez Young |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508932179 PECOS PAC ID: 8325024078 Enrollment ID: I20040624001628 |
Provider Name | Richard Young |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619043601 PECOS PAC ID: 6305050378 Enrollment ID: I20110629000346 |
Mailing Address | Practice Location Address |
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Main Street Optometry 89 Main St, Northport, NY 11768-1742 Ph: (631) 757-6190 | Main Street Optometry 89 Main St, Northport, NY 11768-1742 Ph: (631) 757-6190 |
Candice Distefano, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Brenda Botwinick, OD Optometrist Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Danielle Kalberer, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Optometry Service 123, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Michael Tanenbaum, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 834 Fort Salonga Rd, Northport, NY 11768 Phone: 631-757-4440 Fax: 631-757-4593 | |
Esther Moller, OD Optometrist Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Lynne Colleen Rader, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Arlene L Vazquez Young, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 89 Main St, Northport, NY 11768 Phone: 631-757-6190 Fax: 631-757-4759 |