| Mcc Optometry Of Roosevelt Pllc | |
|
3938 62nd St, Woodside, NY 11377-3632 | |
| (718) 427-4795 | |
| Not Available |
| Full Name | Mcc Optometry Of Roosevelt Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3938 62nd St, Woodside, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780109447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Mary C Carandang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891234654 PECOS PAC ID: 4981979366 Enrollment ID: I20171011001812 |
| Mailing Address | Practice Location Address |
|---|---|
| Mcc Optometry Of Roosevelt Pllc 39-38 62nd Street, Woodside, NY 11377-3632 Ph: (718) 427-4795 | Mcc Optometry Of Roosevelt Pllc 3938 62nd St, Woodside, NY 11377-3632 Ph: (718) 427-4795 |
Shilang Chen, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5311 Broadway, Woodside, NY 11377 Phone: 718-255-1040 | |
Woodside Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5311 Broadway, Woodside, NY 11377 Phone: 718-255-1040 | |
Dr. Seul Ki Lim, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 6909 Roosevelt Ave, Woodside, NY 11377 Phone: 718-639-1392 | |
Dr. Jin Bong Ha, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3960 54th St Apt 6t, Woodside, NY 11377 Phone: 917-518-7375 | |
Lilan Nguyen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4811 Queens Blvd, Woodside, NY 11377 Phone: 718-205-9760 | |
New Woodside Optical Corp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4811 Queens Blvd, Woodside, NY 11377 Phone: 718-205-9760 Fax: 718-205-9738 | |
Inessa Jacobs, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6108 Woodside Ave, Woodside, NY 11377 Phone: 718-505-1700 |