| Dr Avery B Boardman, OD | |
|
889 Craftmaster Road, Wysox, PA 18854-0000 | |
| (570) 265-3668 | |
| (570) 265-8936 |
| Full Name | Dr Avery B Boardman |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 35 Years |
| Location | 889 Craftmaster Road, Wysox, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073603718 | NPI | - | NPPES |
| 0012690190004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG000896 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Packer Hospital | Sayre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grady D. Gafford Md Pc | 0042258048 | 5 |
| Provider Name | Grady D. Gafford MD PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184635286 PECOS PAC ID: 0042258048 Enrollment ID: O20050420000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Avery B Boardman, OD 889 Craftmaster Road, Po Box 331, Wysox, PA 18854-0000 Ph: (570) 265-3668 | Dr Avery B Boardman, OD 889 Craftmaster Road, Wysox, PA 18854-0000 Ph: (570) 265-3668 |
Dr. Eileen Ottaviani, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1932 Golden Mile Rd, Wysox, PA 18854 Phone: 570-265-6816 |
Boardman Family Eye Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 889 Craftmaster Road, Wysox, PA 18854 Phone: 570-265-3668 Fax: 570-265-8936 |
Ottaviani Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 1932 Golden Mile Rd, Wysox, PA 18854 Phone: 570-265-6816 |