Sydni Grace Spicher, OD | |
393 Broadway, New York, NY 10013-3532 | |
(718) 964-6161 | |
Not Available |
Full Name | Sydni Grace Spicher |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 393 Broadway, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114651817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG003932 (Pennsylvania) | Primary |
Provider Name | Finnco Incorporated |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942495379 PECOS PAC ID: 0143389809 Enrollment ID: O20081110000609 |
Provider Name | Yealy Eye Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700276656 PECOS PAC ID: 0749507754 Enrollment ID: O20150331001290 |
Provider Name | Swift Optometry Care Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063753887 PECOS PAC ID: 9739321670 Enrollment ID: O20200819001404 |
Provider Name | Yealy Eye East York, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215695994 PECOS PAC ID: 9537553862 Enrollment ID: O20220302000017 |
Provider Name | Yealy Eye Centerville Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891443057 PECOS PAC ID: 3375911944 Enrollment ID: O20221202000021 |
Mailing Address | Practice Location Address |
---|---|
Sydni Grace Spicher, OD 34 Hunt Club Dr, Bloomsburg, PA 17815-8385 Ph: (515) 509-6449 | Sydni Grace Spicher, OD 393 Broadway, New York, NY 10013-3532 Ph: (718) 964-6161 |
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