Mark Raymond Maxon, OD | |
720 University Ave, Ste 110, Syracuse, NY 13210-1702 | |
(315) 425-0373 | |
(315) 425-0373 |
Full Name | Mark Raymond Maxon |
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Gender | Male |
Speciality | Optometry |
Experience | 34 Years |
Location | 720 University Ave, Syracuse, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851437479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV0051831 (New York) | Primary |
Provider Name | National Eye Care Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427405133 PECOS PAC ID: 5698181840 Enrollment ID: O20210312000820 |
Mailing Address | Practice Location Address |
---|---|
Mark Raymond Maxon, OD 720 University Ave, Ste 110, Syracuse, NY 13210-1702 Ph: (315) 425-0373 | Mark Raymond Maxon, OD 720 University Ave, Ste 110, Syracuse, NY 13210-1702 Ph: (315) 425-0373 |
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