| Four Corners Optometry, Pc | |
|
7 N Main St, #549, Honeoye Falls, NY 14472-1013 | |
| (585) 624-2585 | |
| (585) 624-3140 |
| Full Name | Four Corners Optometry, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7 N Main St, Honeoye Falls, 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 |
|---|---|---|---|
| 1326331570 | NPI | - | NPPES |
| 01110127 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | VUT-004875 (New York) | Primary |
| Provider Name | Barry T Kissack |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629074554 PECOS PAC ID: 3072790302 Enrollment ID: I20110614000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners Optometry, Pc 7 N Main St, #549, Honeoye Falls, NY 14472-1013 Ph: (585) 624-2585 | Four Corners Optometry, Pc 7 N Main St, #549, Honeoye Falls, NY 14472-1013 Ph: (585) 624-2585 |
Dr. Michele Ann Lagana, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 79 Partridge Hl, Honeoye Falls, NY 14472 Phone: 585-624-5457 | |
Dr. Barry T Kissack, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7 N Main St, Honeoye Falls, NY 14472 Phone: 585-624-2585 Fax: 585-624-3140 |