| Miss Lisa Maria Modesto, OD | |
|
10933 71st Rd, Suite 2 C, Forest Hills, NY 11375-4867 | |
| (718) 261-3366 | |
| Not Available |
| Full Name | Miss Lisa Maria Modesto |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 10933 71st Rd, Forest Hills, 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 |
|---|---|---|---|
| 1598879637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV007078 (New York) | Primary |
| Provider Name | Empire Vision Center Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750358826 PECOS PAC ID: 4688573876 Enrollment ID: O20040107000405 |
| Provider Name | Maayan Keshet Md Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396164216 PECOS PAC ID: 8628296290 Enrollment ID: O20140822000780 |
| Provider Name | Jaclyn Benzoni Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538617790 PECOS PAC ID: 8527346246 Enrollment ID: O20180620000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Lisa Maria Modesto, OD 610 E 20th St Apt 4e, Apt. 4 E, New York, NY 10009-1403 Ph: (917) 843-9639 | Miss Lisa Maria Modesto, OD 10933 71st Rd, Suite 2 C, Forest Hills, NY 11375-4867 Ph: (718) 261-3366 |
Svetlana Katanov, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10423 Oueens Blvd, Forest Hills, NY 11375 Phone: 718-275-2500 | |
Eye Q Optical Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 10423 Queens Blvd, Forest Hills, NY 11375 Phone: 718-275-2500 Fax: 718-275-9654 | |
Dr. Boris Michael Kapelnik, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6373 108th St, Forest Hills, NY 11375 Phone: 718-896-2020 | |
Dr. Bradley W. Kaplan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6939 Austin St, Forest Hills, NY 11375 Phone: 718-261-6000 | |
The Gardens Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 12 Station Sq, Forest Hills, NY 11375 Phone: 917-803-0002 | |
Pure Vision Optical Llc Optometrist Medicare: Medicare Enrolled Practice Location: 10023 Queens Blvd, Forest Hills, NY 11375 Phone: 917-670-5116 | |
Inessa Yagudayev Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11156 76th Dr Uppr Lobby2, Forest Hills, NY 11375 Phone: 347-605-1828 Fax: 718-832-5326 |