South Shore Optometric Associates, Pc | |
202 Broadway, Amityville, NY 11701-2797 | |
(631) 264-3937 | |
(631) 598-4496 |
Full Name | South Shore Optometric Associates, Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 202 Broadway, Amityville, 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 |
---|---|---|---|
1710936059 | NPI | - | NPPES |
03196247 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV005756-1 (New York) | Primary |
Provider Name | David Leibstein |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598714321 PECOS PAC ID: 9830163732 Enrollment ID: I20040825001192 |
Provider Name | John A Facchin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659336055 PECOS PAC ID: 7113991910 Enrollment ID: I20040825001243 |
Mailing Address | Practice Location Address |
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South Shore Optometric Associates, Pc 202 Broadway, Amityville, NY 11701-2727 Ph: (631) 264-3937 | South Shore Optometric Associates, Pc 202 Broadway, Amityville, NY 11701-2797 Ph: (631) 264-3937 |
Russell Wohl Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 85 Broadway, Ste C, Amityville, NY 11701 Phone: 631-264-1515 Fax: 631-264-2515 | |
Klarity Optical 2020 Inc Optometrist Medicare: Medicare Enrolled Practice Location: 111 Merrick Rd Ste 3, Amityville, NY 11701 Phone: 917-982-9759 | |
The Little Optical On Broadway Optometrist Medicare: Not Enrolled in Medicare Practice Location: 116 Broadway Ste 2, Amityville, NY 11701 Phone: 631-665-8105 Fax: 631-665-8105 | |
David Lane Leibstein, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 202 Broadway, Amityville, NY 11701 Phone: 631-264-3937 Fax: 631-598-4496 |