Kha Phan Duong, is a
Optometrist based in Dewitt, New York. Kha Phan Duong is licensed to practice in New York (license number 009864) and his current practice location is
3409 Erie Blvd E Unit 200, Dewitt, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 446-4444.
NPI number for Kha Phan Duong is 1073293403 and his current mailing address is 217-2 Cherry St, Syracuse, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073293403.
Healthcare Provider's Profile
| Full Name | Kha Phan Duong |
|---|
| Gender | Male |
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| Speciality | Optometrist |
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| Location | 3409 Erie Blvd E Unit 200, Dewitt, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073293403
- Provider Enumeration Date: 07/20/2023
- Last Update Date: 07/20/2023
Medical Identifiers
Medical identifiers for Kha Phan Duong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073293403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 009864 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kha Phan Duong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kha Phan Duong,
217-2 Cherry St,
Syracuse, NY 13210
Ph: (321) 806-6466 | Kha Phan Duong,
3409 Erie Blvd E Unit 200,
Dewitt, NY 13214
Ph: (315) 446-4444 |
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