Nicole M Sopp, OD | |
38 Route 134, South Dennis, MA 02660-3700 | |
(150) 839-4221 | |
(508) 398-4471 |
Full Name | Nicole M Sopp |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 38 Route 134, South Dennis, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548577471 | NPI | - | NPPES |
D16089 | Medicaid | SC | |
AA67522326 | Other | SC | MEDICARE PTAN |
S400176567 | Other | MA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 5024 (Massachusetts) | Primary |
Provider Name | Beaufort Eye Center P A |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639398472 PECOS PAC ID: 1052407640 Enrollment ID: O20071011000712 |
Mailing Address | Practice Location Address |
---|---|
Nicole M Sopp, OD Po Box 1412, South Dennis, MA 02660-1412 Ph: (150) 839-4221 | Nicole M Sopp, OD 38 Route 134, South Dennis, MA 02660-3700 Ph: (150) 839-4221 |
Mrs. Melissa A Ernst Brenot, Optometrist Medicare: Medicare Enrolled Practice Location: 860 Route 134 Ste 8, South Dennis, MA 02660 Phone: 508-394-2211 Fax: 508-398-4471 | |
Frank D. Puzio, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 Fax: 508-398-4471 | |
Dr. Marianna Kong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 | |
Elizabeth T Potvin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 860 Route 134 Ste 8, South Dennis, MA 02660 Phone: 508-394-2211 Fax: 508-398-4471 | |
Dr. Frank D Puzio, O.D., F.A.A.O. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 Fax: 508-398-4471 | |
Mr. Matthew S Puzio, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 |