| Gladys Mayancela Pichizaca, OD | |
|
15 Central St, Andover, MA 01810-3718 | |
| (978) 475-5252 | |
| Not Available |
| Full Name | Gladys Mayancela Pichizaca |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 15 Central St, Andover, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811739493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT5705 (Massachusetts) | Primary |
| Provider Name | Aeg Massachusetts Professional Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952035040 PECOS PAC ID: 6901282557 Enrollment ID: O20221005000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Gladys Mayancela Pichizaca, OD 15 Central St, Andover, MA 01810-3718 Ph: () - | Gladys Mayancela Pichizaca, OD 15 Central St, Andover, MA 01810-3718 Ph: (978) 475-5252 |
John Deshaies, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 | |
Andover Optometry On Central Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 | |
Dr. Jennifer Velasco Badiola, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 138 Haverhill St Ste 104, Andover, MA 01810 Phone: 978-475-0705 | |
James A Casazza Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 | |
Dr. Catherine A Bergschneider, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 | |
Mark B. Abelson, M.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 138 Haverhill St, Suite 104, Andover, MA 01810 Phone: 978-475-0708 Fax: 978-475-0008 |