| Baldwin Optometry Pc | |
|
2429 Grand Ave, Baldwin, NY 11510-3219 | |
| (516) 223-0528 | |
| (516) 223-0730 |
| Full Name | Baldwin Optometry Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2429 Grand Ave, Baldwin, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699956037 | NPI | - | NPPES |
| A400042587 | Other | NY | MEDICARE MEMBER- CHARLES J DELUCA OD- PTAN |
| 03064115 | Medicaid | NY | |
| A100042581 | Other | NY | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 005434 (New York) | Primary |
| Provider Name | Charles J Deluca |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659492452 PECOS PAC ID: 7618937418 Enrollment ID: I20041015000671 |
| Provider Name | Dana G Turek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841417029 PECOS PAC ID: 4385802487 Enrollment ID: I20120221000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Baldwin Optometry Pc 2429 Grand Ave, Baldwin, NY 11510-3219 Ph: (516) 223-0528 | Baldwin Optometry Pc 2429 Grand Ave, Baldwin, NY 11510-3219 Ph: (516) 223-0528 |
Dr. Jennifer Denise Belfor, OD OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 939 Atlantic Avenue, Baldwin, NY 11510 Phone: 516-868-3500 Fax: 516-368-3556 | |
Dr. Charles Joseph Deluca, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2429 Grand Ave, Baldwin, NY 11510 Phone: 516-223-0528 Fax: 516-223-0730 | |
Eyecare Advantage 2, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1953 Grand Avenue, Baldwin, NY 11510 Phone: 516-623-3700 Fax: 516-623-3305 | |
Lrj Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 939 Atlantic Avenue, Baldwin, NY 11510 Phone: 516-868-3500 Fax: 516-868-3556 |