| Eric David Dostal O.d. Llc | |
|
250 Northampton St, Ste A, Easthampton, MA 01027-1197 | |
| (413) 527-9284 | |
| Not Available |
| Full Name | Eric David Dostal O.d. Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 250 Northampton St, Easthampton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417091059 | NPI | - | NPPES |
| 9747940 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4035 (Massachusetts) | Primary |
| Provider Name | Eric D Dostal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851310429 PECOS PAC ID: 0042225666 Enrollment ID: I20060217000241 |
| Provider Name | Anna Symolon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174501589 PECOS PAC ID: 4183642093 Enrollment ID: I20071129000469 |
| Provider Name | Teresa Kos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770674046 PECOS PAC ID: 8022148048 Enrollment ID: I20100617000241 |
| Provider Name | Kani M Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568750669 PECOS PAC ID: 0345497442 Enrollment ID: I20120824000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric David Dostal O.d. Llc 250 Northampton St, Ste A, Easthampton, MA 01027-1197 Ph: (508) 837-3790 | Eric David Dostal O.d. Llc 250 Northampton St, Ste A, Easthampton, MA 01027-1197 Ph: (413) 527-9284 |
Dr. Earl H Lizotte Jr., OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 176 Main St, Easthampton, MA 01027 Phone: 413-527-4881 Fax: 413-527-4892 | |
Dr. Anna Symolon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 Northampton St Ste D, Easthampton, MA 01027 Phone: 413-527-9284 | |
Dr. Jacqueline L Mandile, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 238 Northampton St, Easthampton, MA 01027 Phone: 413-529-9300 Fax: 866-644-0870 | |
Earl H Lizotte, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 176 Main St, Easthampton, MA 01027 Phone: 413-527-4881 Fax: 413-527-4892 | |
Andria Demosthenous, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 250 Northampton St Ste A, Easthampton, MA 01027 Phone: 413-527-9284 Fax: 413-527-8181 | |
Kani Brown, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 250 Northampton St Ste A, Easthampton, MA 01027 Phone: 413-527-9284 Fax: 413-527-8181 |