| 200 West Optics, Llc | |
|
388 Hawkins Ave Ste 2, Ronkonkoma, NY 11779-4280 | |
| (631) 588-7004 | |
| (631) 588-2612 |
| Full Name | 200 West Optics, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 388 Hawkins Ave Ste 2, Ronkonkoma, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003743642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| 200 West Optics, Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | 200 West Optics, Llc 388 Hawkins Ave Ste 2, Ronkonkoma, NY 11779-4280 Ph: (631) 588-7004 |
Kristin Ann Protosow, OPTOMETRIST, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 624 Hawkins Ave, Suite 1, Ronkonkoma, NY 11779 Phone: 631-588-5100 Fax: 631-588-5185 | |
Dr. Laura Ann Buccellato, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 388 Hawkins Ave, Suite 2, Ronkonkoma, NY 11779 Phone: 631-588-7004 Fax: 631-588-2612 |