Ralph W Lott, OD | |
1729 Burrstone Rd, New Hartford, NY 13413-1001 | |
(315) 798-1700 | |
(315) 798-1726 |
Full Name | Ralph W Lott |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 33 Years |
Location | 1729 Burrstone Rd, New Hartford, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174511315 | NPI | - | NPPES |
02239623 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 005666 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Slocum Dickson Medical Group Pllc | 5799778510 | 106 |
Provider Name | Slocum Dickson Medical Group Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285625996 PECOS PAC ID: 5799778510 Enrollment ID: O20040407000427 |
Mailing Address | Practice Location Address |
---|---|
Ralph W Lott, OD 1729 Burrstone Rd, New Hartford, NY 13413-1001 Ph: (315) 798-1700 | Ralph W Lott, OD 1729 Burrstone Rd, New Hartford, NY 13413-1001 Ph: (315) 798-1700 |
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