| Dr David Judson Dexter, OD | |
|
120 E 1st St Ste 1, Oswego, NY 13126-2045 | |
| (315) 343-2020 | |
| (315) 207-2001 |
| Full Name | Dr David Judson Dexter |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 47 Years |
| Location | 120 E 1st St Ste 1, Oswego, New York |
| 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 |
|---|---|---|---|
| 1265524417 | NPI | - | NPPES |
| 410047858 | Other | NY | PALMETTO GBA-RR MC |
| 00578881 | Medicaid | NY | |
| 580001049 | Other | NY | PALMETTO GBA-RR MC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3632 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| David J Dexter Od Pc | 5698894426 | 3 |
| Provider Name | David J Dexter Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346377017 PECOS PAC ID: 5698894426 Enrollment ID: O20110415000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Judson Dexter, OD 120 E 1st St Ste 1, Oswego, NY 13126-2114 Ph: (315) 343-2020 | Dr David Judson Dexter, OD 120 E 1st St Ste 1, Oswego, NY 13126-2045 Ph: (315) 343-2020 |
Eye Consultants Of Syracuse Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Bronson St, Oswego, NY 13126 Phone: 315-342-6176 Fax: 315-342-3120 | |
Lori A Youngman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 147 W 1st St, Oswego, NY 13126 Phone: 315-343-2020 Fax: 315-207-2001 | |
Yaseen Morshid, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 303 W Seneca St, Oswego, NY 13126 Phone: 315-343-2020 | |
David J. Dexter, O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 303 W Seneca St, Oswego, NY 13126 Phone: 315-343-2020 Fax: 315-207-2001 | |
Quynh Nhu Le, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 303 W Seneca St, Oswego, NY 13126 Phone: 315-343-2020 | |
Dr. Jacob B List, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 140 State Route 104, Oswego Plaza Empire Vision Centers, Oswego, NY 13126 Phone: 315-342-0727 Fax: 315-342-3044 |