| Aeg Massachusetts Professional Pc | |
| 
					15 Central St, Andover, MA 01810-3718  | |
| (978) 475-5252 | |
| (314) 741-4947 | 
| Full Name | Aeg Massachusetts Professional Pc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 15 Central St, Andover, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952035040 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Provider Name | Stephen J Harney | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1124029269 PECOS PAC ID: 4880665330 Enrollment ID: I20040805001417  | 
| Provider Name | Paul Levine | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1013977685 PECOS PAC ID: 3375509276 Enrollment ID: I20041203000549  | 
| Provider Name | Elise F Damiano | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1609935725 PECOS PAC ID: 8820054216 Enrollment ID: I20041207001151  | 
| Provider Name | John M Abbondanza | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1902992886 PECOS PAC ID: 8820054729 Enrollment ID: I20041213000073  | 
| Provider Name | Emily H Pilotte | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1235355199 PECOS PAC ID: 4981658929 Enrollment ID: I20050311000741  | 
| Provider Name | Ronald K Watanabe | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1942200316 PECOS PAC ID: 1951326669 Enrollment ID: I20051012000210  | 
| Provider Name | Joel B Hayden | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1245308733 PECOS PAC ID: 9931117496 Enrollment ID: I20060327000155  | 
| Provider Name | Tatyana I Katz | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1699887323 PECOS PAC ID: 3476559071 Enrollment ID: I20061004000354  | 
| Provider Name | Sherry Audycki | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1679559108 PECOS PAC ID: 4385641018 Enrollment ID: I20061023000148  | 
| Provider Name | John Allen Child | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1346301033 PECOS PAC ID: 6800990540 Enrollment ID: I20070405000105  | 
| Provider Name | Joseph Michael Niro | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1922044916 PECOS PAC ID: 1658469820 Enrollment ID: I20071123000002  | 
| Provider Name | David M Luria | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1306059779 PECOS PAC ID: 4082704135 Enrollment ID: I20071213000421  | 
| Provider Name | Theresa J Ruggiero | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1578640678 PECOS PAC ID: 9032287974 Enrollment ID: I20081006000507  | 
| Provider Name | Suraj S Afshar | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1578714150 PECOS PAC ID: 9133282361 Enrollment ID: I20090113000915  | 
| Provider Name | Suzanne M Rosenberg | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1275799223 PECOS PAC ID: 6608930557 Enrollment ID: I20090122000027  | 
| Provider Name | Christopher A Karalekas | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1043212087 PECOS PAC ID: 7719041557 Enrollment ID: I20090123000058  | 
| Provider Name | Steven Sikalis | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1427034263 PECOS PAC ID: 4880758648 Enrollment ID: I20090123000170  | 
| Provider Name | Anupama Sehgal | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1730248261 PECOS PAC ID: 8628128634 Enrollment ID: I20090615000038  | 
| Provider Name | Florence B Bahtiarian | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1427080191 PECOS PAC ID: 6002949039 Enrollment ID: I20100728000450  | 
| Provider Name | Robert A Audycki | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1689673428 PECOS PAC ID: 5890963375 Enrollment ID: I20110728000244  | 
| Provider Name | Noreen B Marron Curdo | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1639297245 PECOS PAC ID: 6507029303 Enrollment ID: I20120515000013  | 
| Provider Name | Deanna K Lahey | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1831539386 PECOS PAC ID: 3678709326 Enrollment ID: I20131202001213  | 
| Provider Name | John P Deshaies | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1275942419 PECOS PAC ID: 5294954491 Enrollment ID: I20140922000815  | 
| Provider Name | Murray H Baumal | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1073640983 PECOS PAC ID: 4981926292 Enrollment ID: I20170117001799  | 
| Provider Name | Elizabeth B Hannigan | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1417359696 PECOS PAC ID: 8123392453 Enrollment ID: I20170925002448  | 
| Provider Name | Naomi G Clay | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1225585524 PECOS PAC ID: 7214201599 Enrollment ID: I20170926000777  | 
| Provider Name | Nadia S Zalatimo | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1790747590 PECOS PAC ID: 3577793843 Enrollment ID: I20171201002029  | 
| Provider Name | Michelle Marie Durand Straube | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1740577543 PECOS PAC ID: 8628247889 Enrollment ID: I20181119000690  | 
| Provider Name | Nguyet Thai Lesoltis | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1407316102 PECOS PAC ID: 2668807082 Enrollment ID: I20200113002286  | 
| Provider Name | Shan Ma | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1174175129 PECOS PAC ID: 0446689046 Enrollment ID: I20200402001672  | 
| Provider Name | Graham Stetson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1184285801 PECOS PAC ID: 4789003567 Enrollment ID: I20200928002432  | 
| Provider Name | Lin Ma Chia | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1578995866 PECOS PAC ID: 2961870308 Enrollment ID: I20221116001841  | 
| Provider Name | Tiffany Lu | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1609567189 PECOS PAC ID: 4688034689 Enrollment ID: I20230724000329  | 
| Provider Name | Samuel White | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1760166656 PECOS PAC ID: 5092164178 Enrollment ID: I20231214002201  | 
| Provider Name | Ashlynne Horton | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1659152239 PECOS PAC ID: 5496195877 Enrollment ID: I20240502000744  | 
| Provider Name | Gladys Mayancela Pichizaca | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1811739493 PECOS PAC ID: 6103363007 Enrollment ID: I20240808002276  | 
| Provider Name | Jessica Hernandez | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1982334363 PECOS PAC ID: 9436697315 Enrollment ID: I20240812000663  | 
| Provider Name | Brian Moreira-bouchard | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1033973870 PECOS PAC ID: 3678005543 Enrollment ID: I20241016003211  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Aeg Massachusetts Professional Pc 111 E 4th St Ste 440, Alton, IL 62002-6241 Ph: (618) 462-9818  | Aeg Massachusetts Professional Pc 15 Central St, Andover, MA 01810-3718 Ph: (978) 475-5252  | 
John Deshaies, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226  | |
Andover Optometry On Central Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226  | |
Dr. Jennifer Velasco Badiola, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 138 Haverhill St Ste 104, Andover, MA 01810 Phone: 978-475-0705  | |
James A Casazza Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226  | |
Dr. Catherine A Bergschneider, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226  | |
Mark B. Abelson, M.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 138 Haverhill St, Suite 104, Andover, MA 01810 Phone: 978-475-0708 Fax: 978-475-0008  | |
Gladys Mayancela Pichizaca, OD Optometrist Medicare: Medicare Enrolled Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252  |