| 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 | Teresa D Hrach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225036734 PECOS PAC ID: 9830088798 Enrollment ID: I20040311000040 |
| 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 | Christopher Oldham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841392412 PECOS PAC ID: 9537127188 Enrollment ID: I20041229000225 |
| 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 | Amy J Catalano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164456729 PECOS PAC ID: 1052314051 Enrollment ID: I20060911000145 |
| Provider Name | Matthew S Puzio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972610814 PECOS PAC ID: 7315942786 Enrollment ID: I20060919000389 |
| 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 | Michelle A Gambini |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841507050 PECOS PAC ID: 0648444703 Enrollment ID: I20111129000748 |
| Provider Name | Noreen B Marron Curdo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639297245 PECOS PAC ID: 6507029303 Enrollment ID: I20120515000013 |
| Provider Name | Ara Barsamian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659479343 PECOS PAC ID: 0547382541 Enrollment ID: I20120608000313 |
| Provider Name | Debra Sleight |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043219207 PECOS PAC ID: 7113049065 Enrollment ID: I20120608000422 |
| Provider Name | Paul Elliott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497713903 PECOS PAC ID: 2264552736 Enrollment ID: I20121024000556 |
| 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 | Makenzie K Elliott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972912251 PECOS PAC ID: 9032433321 Enrollment ID: I20150114001892 |
| 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 | Jordan Davidner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609304484 PECOS PAC ID: 6800154865 Enrollment ID: I20180621000160 |
| Provider Name | Paul Tieri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245720655 PECOS PAC ID: 9234489378 Enrollment ID: I20180911001152 |
| 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 | Mikaela Rosa Simon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518566793 PECOS PAC ID: 3577974799 Enrollment ID: I20201119001058 |
| 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 Milton 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 | Melissa A Ernst Brenot |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245266998 PECOS PAC ID: 6103806450 Enrollment ID: I20240803000329 |
| 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 | Joshua Cherng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780376996 PECOS PAC ID: 5890157226 Enrollment ID: I20240830002336 |
| Provider Name | Brian Moreira-bouchard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033973870 PECOS PAC ID: 3678005543 Enrollment ID: I20241016003211 |
| Provider Name | Chad Michael Belanger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164427969 PECOS PAC ID: 1658268305 Enrollment ID: I20250903002129 |
| Provider Name | Amanda Raffa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154127538 PECOS PAC ID: 3577065200 Enrollment ID: I20250903002970 |
| Provider Name | Jade Pacheco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477370815 PECOS PAC ID: 9830694868 Enrollment ID: I20250922003926 |
| 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 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 |
Casazza Optometric Group 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 |
Andover Eye Asociates 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: Accepting Medicare Assignments Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 |