| Kenneth L. Stack Optometrist, Pc | |
|
24 Rosemont St, Albany, NY 12203-2405 | |
| (518) 438-6669 | |
| (518) 489-4372 |
| Full Name | Kenneth L. Stack Optometrist, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 24 Rosemont St, Albany, 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 |
|---|---|---|---|
| 1760669485 | NPI | - | NPPES |
| 00931291 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV004607-1 (New York) | Primary |
| Provider Name | Kenneth L Stack |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093756371 PECOS PAC ID: 3971584772 Enrollment ID: I20040527000482 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth L. Stack Optometrist, Pc 24 Rosemont St, Albany, NY 12203-2405 Ph: (518) 438-6669 | Kenneth L. Stack Optometrist, Pc 24 Rosemont St, Albany, NY 12203-2405 Ph: (518) 438-6669 |
Dr. Amnon Baron, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1009 Central Ave, Empire Vision Centers, Albany, NY 12206 Phone: 518-489-8575 Fax: 518-489-8578 | |
Jessica Rodriquez, OD, MPH Optometrist Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-5000 | |
Dr. Jeffrey David Varney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1692 Central Ave, Albany, NY 12205 Phone: 518-869-2560 Fax: 518-869-2580 | |
Albany Medical College Dept Of Ophthalmology Optometrist Medicare: Medicare Enrolled Practice Location: 47 New Scotland Ave, Mc77, Albany, NY 12208 Phone: 518-262-2520 Fax: 518-262-2516 | |
Dr. Kenneth L. Stack, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 24 Rosemont St, Albany, NY 12203 Phone: 518-438-6669 Fax: 518-489-4372 | |
Tone Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 971 Central Ave, Albany, NY 12205 Phone: 518-458-2112 Fax: 518-458-2870 | |
Dr. Sharon Florence Hunt-moriarty, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 65 Wolf Rd Ste 106, Albany, NY 12205 Phone: 518-463-1707 Fax: 518-949-2499 |