| All Eye Care At Davis, Inc | |
|
63 Station Lndg, Att. Dr Dzenana Idrizovic, Medford, MA 02155-5192 | |
| (603) 566-7463 | |
| Not Available |
| Full Name | All Eye Care At Davis, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 63 Station Lndg, Medford, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700216090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4544 (Massachusetts) | Primary |
| Provider Name | Dzenana Idrizovic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942216759 PECOS PAC ID: 8628071388 Enrollment ID: I20060818000037 |
| Provider Name | Enian Kallamata |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700498672 PECOS PAC ID: 6800216045 Enrollment ID: I20201207000538 |
| Provider Name | Maryam Fatouraei |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205588878 PECOS PAC ID: 6608236955 Enrollment ID: I20230718002000 |
| Mailing Address | Practice Location Address |
|---|---|
| All Eye Care At Davis, Inc 63 Station Lndg, Att. Dr Dzenana Idrizovic, Medford, MA 02155-5192 Ph: (603) 566-7463 | All Eye Care At Davis, Inc 63 Station Lndg, Att. Dr Dzenana Idrizovic, Medford, MA 02155-5192 Ph: (603) 566-7463 |
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Dr. Yan Lu, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 278 Middlesex Ave, Medford, MA 02155 Phone: 781-396-2322 Fax: 781-396-3353 | |
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