Svc Of Port Jefferson Station, Llc | |
524 Patchogue Rd, Port Jefferson Station, NY 11776 | |
(631) 476-4707 | |
(631) 727-2866 |
Full Name | Svc Of Port Jefferson Station, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 524 Patchogue Rd, Port Jefferson Station, 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 |
---|---|---|---|
1962071258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Theresa Loscalzo Bacaris |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720162431 PECOS PAC ID: 8224076492 Enrollment ID: I20050419000484 |
Provider Name | Jeffrey Slaney Williams |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225024490 PECOS PAC ID: 6901813310 Enrollment ID: I20060309000442 |
Provider Name | Jeffrey Slaney Williams |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396945143 PECOS PAC ID: 3870687593 Enrollment ID: I20071108000578 |
Provider Name | Monika Murawska |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891950143 PECOS PAC ID: 4688722309 Enrollment ID: I20090506000188 |
Provider Name | Cynthia Wiener |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063896926 PECOS PAC ID: 5890088306 Enrollment ID: I20160721000489 |
Provider Name | Preeti K Minhas |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447744263 PECOS PAC ID: 9739437575 Enrollment ID: I20180809005581 |
Provider Name | Jin Yip Chiu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104469287 PECOS PAC ID: 5092149179 Enrollment ID: I20191224000176 |
Provider Name | Michelle Anne Mckillop |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851917256 PECOS PAC ID: 4880012137 Enrollment ID: I20200917002798 |
Provider Name | Peter S Wagoner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952824211 PECOS PAC ID: 9335411677 Enrollment ID: I20201117002681 |
Provider Name | Alicia Jones |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437776960 PECOS PAC ID: 1759796907 Enrollment ID: I20210219002351 |
Provider Name | Keith Watson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194795948 PECOS PAC ID: 0143122325 Enrollment ID: I20210507002151 |
Provider Name | Raazia Syedda |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386217974 PECOS PAC ID: 3779987391 Enrollment ID: I20210804001999 |
Provider Name | Gurkiran Kaur |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144957366 PECOS PAC ID: 6305221904 Enrollment ID: I20220919000746 |
Provider Name | Paige M Thomas |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861166035 PECOS PAC ID: 2264817725 Enrollment ID: I20220920000213 |
Provider Name | Bryan Sookoo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467010173 PECOS PAC ID: 0345651121 Enrollment ID: I20221123001113 |
Mailing Address | Practice Location Address |
---|---|
Svc Of Port Jefferson Station, Llc 1224 Ostrander Ave, Riverhead, NY 11901-2109 Ph: (631) 727-2858 | Svc Of Port Jefferson Station, Llc 524 Patchogue Rd, Port Jefferson Station, NY 11776 Ph: (631) 476-4707 |
North Shore Advanced Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 537 Patchogue Rd, Port Jefferson Station, NY 11776 Phone: 631-642-2020 Fax: 631-642-3938 | |
Dr. Edward John Moylan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 537 Patchogue Road, Port Jefferson Station, NY 11776 Phone: 631-642-2020 Fax: 631-642-3938 | |
Dr. Andrew Mulligan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1092 Route 112, Port Jefferson Station, NY 11776 Phone: 631-474-3937 Fax: 631-474-3966 | |
Grueneyes Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1092 Route 112, Port Jefferson Station, NY 11776 Phone: 631-474-3937 Fax: 631-474-3966 | |
Julie Demartini, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 516-393-8907 | |
Dr. Howard Kessler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5330 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-331-3883 Fax: 631-642-1506 | |
Insight Vision Center Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 5330 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-331-3883 Fax: 631-642-1506 |