| Odyssey Optical Inc | |
|
2238 31st St, Astoria, NY 11105-2714 | |
| (718) 278-3600 | |
| (718) 278-3865 |
| Full Name | Odyssey Optical Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2238 31st St, Astoria, 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 |
|---|---|---|---|
| 1962594200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | VUT005798-1 (New York) | Primary |
| Provider Name | Hope P Muller-mcgovern |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245291814 PECOS PAC ID: 6800898321 Enrollment ID: I20070213000007 |
| Provider Name | Susana M Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679543003 PECOS PAC ID: 0840256715 Enrollment ID: I20070213000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Optical Inc 2238 31st St, Astoria, NY 11105-2714 Ph: (718) 278-3600 | Odyssey Optical Inc 2238 31st St, Astoria, NY 11105-2714 Ph: (718) 278-3600 |
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