| Aleena Jose, OD | |
|
428 Windmere Dr Ste 100, State College, PA 16801-7644 | |
| (814) 234-2015 | |
| Not Available |
| Full Name | Aleena Jose |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 428 Windmere Dr Ste 100, State College, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023851268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 004290 (Pennsylvania) | Primary |
| 152W00000X | Optometrist | 11088 (Texas) | Secondary |
| Provider Name | University Of The Incarnate Word |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003129784 PECOS PAC ID: 9234310301 Enrollment ID: O20110222001023 |
| Mailing Address | Practice Location Address |
|---|---|
| Aleena Jose, OD 428 Windmere Dr Ste 100, State College, PA 16801-7644 Ph: () - | Aleena Jose, OD 428 Windmere Dr Ste 100, State College, PA 16801-7644 Ph: (814) 234-2015 |
Michael J Talone, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 428 Windmere Dr, Suite 100, State College, PA 16801 Phone: 814-234-2015 Fax: 814-234-2015 | |
Brian Matthew Randecker, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2901 E College Ave, State College, PA 16801 Phone: 814-347-9604 | |
Dr. Marshall L. Goldstein, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 E Beaver Ave, State College, PA 16801 Phone: 814-238-2862 Fax: 814-234-2201 | |
Michael J Cymbor, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 428 Windmere Dr, Ste 100, State College, PA 16801 Phone: 814-234-2015 Fax: 814-238-5300 | |
F.y.eye, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 138 W College Ave, State College, PA 16801 Phone: 814-234-7788 Fax: 814-234-1105 | |
Dr. Dustin Edward Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 428 Windmere Dr, State College, PA 16801 Phone: 814-234-2015 Fax: 814-238-5300 |