Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 16 Old Gick Rd, Wilton, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649333493 | NPI | - | NPPES |
420 | Other | DAVIS | |
5252 | Other | MVP | |
10000845 | Other | CDPHP | |
C2811 | Other | BLUE CROSS BLUE SHIELD | |
41360 | Other | SPECTEA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T003818 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 496, Delmar, NY 12054 Ph: (518) 587-0258 | 16 Old Gick Rd, Wilton, NY 12866 Ph: (518) 587-0258 |
Kimberly A Dobrodziej, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14 Mountain Ledge, Wilton, NY 12831 Phone: 518-450-1080 | |
Dr. Matthew E Beaulieu, OD Optometrist Medicare: Medicare Enrolled Practice Location: 14 Mountain Ledge, Wilton, NY 12831 Phone: 518-450-1080 Fax: 518-478-8500 |