| Dr Theresa Loscalzo Bacaris, OD | |
|
1360 Montauk Hwy, Ste 2e, Mastic, NY 11950-2929 | |
| (631) 281-2474 | |
| (631) 281-2476 |
| Full Name | Dr Theresa Loscalzo Bacaris |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1360 Montauk Hwy, Mastic, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720162431 | NPI | - | NPPES |
| 26993 | Other | NY | SPECTERA |
| 34416 | Other | NY | AVESIS |
| 201972162 | Other | NY | NVA |
| 2136929 | Other | NY | VYTRA |
| 201972162 | Other | NY | COMP BENEFITS |
| 201972162 | Other | NY | HORIZON HEALTHCARE |
| 6599195 | Other | NY | GHI |
| 921377 | Other | NY | BLOCK VISION |
| NY0047 | Other | NY | EYEMED |
| 198546P | Other | NY | HIP |
| 201972162 | Other | NY | ISLAND GROUP ADMINISTATOR |
| P3548978 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | VUT004799-1 (New York) | Primary |
| Provider Name | Empire Vision Center Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750358826 PECOS PAC ID: 4688573876 Enrollment ID: O20040107000405 |
| Provider Name | Sound Vision Care, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487809406 PECOS PAC ID: 5496801417 Enrollment ID: O20090916000485 |
| Provider Name | Svc Of Southold Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710421078 PECOS PAC ID: 7810326709 Enrollment ID: O20200327001011 |
| Provider Name | Svc Of Coram Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619411972 PECOS PAC ID: 8426487315 Enrollment ID: O20200327001175 |
| Provider Name | Svc Of East Setauket Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255875514 PECOS PAC ID: 5597194480 Enrollment ID: O20200327001322 |
| Provider Name | Svc Of Riverhead Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881221695 PECOS PAC ID: 8921437500 Enrollment ID: O20200402000550 |
| Provider Name | Svc Of The Hamptons Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144850934 PECOS PAC ID: 6800225285 Enrollment ID: O20200406002926 |
| Provider Name | Svc Of Mastic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831708353 PECOS PAC ID: 5597176826 Enrollment ID: O20201118000359 |
| Provider Name | Svc Of Port Jefferson Station, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962071258 PECOS PAC ID: 7810394475 Enrollment ID: O20210923002538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theresa Loscalzo Bacaris, OD 1360 Montauk Hwy, Ste 2e, Mastic, NY 11950-2929 Ph: (631) 281-2474 | Dr Theresa Loscalzo Bacaris, OD 1360 Montauk Hwy, Ste 2e, Mastic, NY 11950-2929 Ph: (631) 281-2474 |
Hanan Saleh, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1360 Montauk Hwy, Mastic, NY 11950 Phone: 631-281-2474 | |
Long Island Optometric Eyecare,pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1360 Montauk Hwy, Ste 2e, Mastic, NY 11950 Phone: 631-281-2474 Fax: 631-281-2476 |