| Dr Xiaomin Fang, OD | |
|
180 River Rd, Wal-mart Vision Center, Lisbon, CT 06351-3249 | |
| (781) 330-2605 | |
| Not Available |
| Full Name | Dr Xiaomin Fang |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 180 River Rd, Lisbon, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265783047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2864 (Connecticut) | Primary |
| Provider Name | Westfarms Eye Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568520773 PECOS PAC ID: 8628111655 Enrollment ID: O20110105000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Xiaomin Fang, OD 200 Regan Rd, Apt. 26c, Vernon, CT 06066-2850 Ph: (781) 330-2605 | Dr Xiaomin Fang, OD 180 River Rd, Wal-mart Vision Center, Lisbon, CT 06351-3249 Ph: (781) 330-2605 |
Dr. Jason Edward Cavanaugh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 180 River Rd, Lisbon, CT 06351 Phone: 860-376-8431 Fax: 860-376-8851 | |
Insight Enterprises Optometrist Medicare: Not Enrolled in Medicare Practice Location: 180 River Rd, Lisbon, CT 06351 Phone: 860-918-1549 | |
Proeye, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 180 River Rd, Lisbon, CT 06351 Phone: 860-215-4009 Fax: 518-217-6004 |