| John J Maurillo Odpc | |
|
3986 Jordan Rd, Skaneateles, NY 13152-9401 | |
| (315) 685-2020 | |
| (315) 685-3337 |
| Full Name | John J Maurillo Odpc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3986 Jordan Rd, Skaneateles, 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 |
|---|---|---|---|
| 1164601506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV003192-1 (New York) | Primary |
| Provider Name | John J Maurillo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558353599 PECOS PAC ID: 9335239383 Enrollment ID: I20071214000361 |
| Mailing Address | Practice Location Address |
|---|---|
| John J Maurillo Odpc 3986 Jordan Rd, Po Box 0978, Skaneateles, NY 13152-9401 Ph: (315) 685-2020 | John J Maurillo Odpc 3986 Jordan Rd, Skaneateles, NY 13152-9401 Ph: (315) 685-2020 |
Dr. Casimir Karol Bobowski, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1342 New Seneca Tpke, Skaneateles, NY 13152 Phone: 315-685-6185 Fax: 315-685-2235 | |
Dr. John J Maurillo Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3986 Jordan Rd, Suite A, Skaneateles, NY 13152 Phone: 315-685-2020 Fax: 315-685-3337 |