| Ottaviani Optometry | |
|
1932 Golden Mile Rd, Wysox, PA 18854 | |
| (570) 265-6816 | |
| Not Available |
| Full Name | Ottaviani Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1932 Golden Mile Rd, Wysox, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912268376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG002537 (Pennsylvania) | Primary |
| Provider Name | Eileen Ottaviani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093871279 PECOS PAC ID: 2860552015 Enrollment ID: I20120712000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Ottaviani Optometry Po Box 505, Wyalusing, PA 18853 Ph: (570) 265-6816 | Ottaviani Optometry 1932 Golden Mile Rd, Wysox, PA 18854 Ph: (570) 265-6816 |
Dr. Avery B Boardman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 889 Craftmaster Road, Wysox, PA 18854 Phone: 570-265-3668 Fax: 570-265-8936 | |
Dr. Eileen Ottaviani, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1932 Golden Mile Rd, Wysox, PA 18854 Phone: 570-265-6816 | |
Boardman Family Eye Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 889 Craftmaster Road, Wysox, PA 18854 Phone: 570-265-3668 Fax: 570-265-8936 |