| Dr Robert Dougherty, OD | |
|
126 W Front St, Berwick, PA 18603-4702 | |
| (570) 752-7458 | |
| Not Available |
| Full Name | Dr Robert Dougherty |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 126 W Front St, Berwick, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386326395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG004062 (Pennsylvania) | Primary |
| Provider Name | Drs Sandra M Krokos & Thomas P Kislan Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487784005 PECOS PAC ID: 6406842202 Enrollment ID: O20040426000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Dougherty, OD 21 Tiller Rd, Shavertown, PA 18708-9677 Ph: () - | Dr Robert Dougherty, OD 126 W Front St, Berwick, PA 18603-4702 Ph: (570) 752-7458 |
Dr. Robert L Albertson Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Fowler Ave, Berwick, PA 18603 Phone: 570-759-0365 Fax: 570-759-0385 | |
Joseph James Lombardi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 126 W Front St, Berwick, PA 18603 Phone: 570-752-7458 Fax: 570-759-3663 | |
Dr. Susan J. Charnecki-sincavage, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 133 W Front St, Berwick, PA 18603 Phone: 570-752-2500 Fax: 570-752-8842 | |
Independence Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1900 W Front St, Berwick, PA 18603 Phone: 570-759-2325 Fax: 570-759-3101 |