Dr Anthony Iannuccillo, OD is a
Optometrist based in Ballston Lake, New York. Dr Anthony Iannuccillo is licensed to practice in New York (license number T003085) and his current practice location is
5 Wood Dale Dr., Ballston Lake, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 877-7373.
NPI number for Dr Anthony Iannuccillo is 1548564941 and his current mailing address is 5 Wood Dale Dr., Ballston Lake, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548564941.
Healthcare Provider's Profile
| Full Name | Dr Anthony Iannuccillo |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 5 Wood Dale Dr., Ballston Lake, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548564941
- Provider Enumeration Date: 12/29/2010
- Last Update Date: 12/29/2010
Medical Identifiers
Medical identifiers for Dr Anthony Iannuccillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548564941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | T003085 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Anthony Iannuccillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Anthony Iannuccillo, OD
5 Wood Dale Dr.,
Ballston Lake, NY 12019
Ph: (518) 877-7373 | Dr Anthony Iannuccillo, OD
5 Wood Dale Dr.,
Ballston Lake, NY 12019
Ph: (518) 877-7373 |
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