| M. F. Diffendall Od Pa | |
|
3332 Paper Mill Rd, Phoenix, MD 21131-1419 | |
| (410) 628-1510 | |
| Not Available |
| Full Name | M. F. Diffendall Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3332 Paper Mill Rd, Phoenix, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194074476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TA1372 (Maryland) | Primary |
| Provider Name | Barry Weiner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023099223 PECOS PAC ID: 3072797794 Enrollment ID: I20110405000176 |
| Provider Name | Michael Diffendall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184667057 PECOS PAC ID: 3072728914 Enrollment ID: I20130314000118 |
| Provider Name | Johanna E Letts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558319707 PECOS PAC ID: 0042448193 Enrollment ID: I20140116001480 |
| Mailing Address | Practice Location Address |
|---|---|
| M. F. Diffendall Od Pa 3332 Paper Mill Rd, Phoenix, MD 21131-1419 Ph: (410) 628-1510 | M. F. Diffendall Od Pa 3332 Paper Mill Rd, Phoenix, MD 21131-1419 Ph: (410) 628-1510 |
Dr. Barry M Weiner, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3421 Sweet Air Rd, Phoenix, MD 21131 Phone: 410-628-1510 Fax: 410-666-5244 | |
Dr. Michael F Diffendall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3332 Paper Mill Rd, Phoenix, MD 21131 Phone: 410-628-1510 Fax: 410-628-1511 | |
Jacksonville Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3332 Paper Mill Rd, Phoenix, MD 21131 Phone: 410-628-1510 |