| Mark Stadlen, | |
|
3803 Broadway, Astoria, NY 11103-4058 | |
| (718) 956-3000 | |
| (718) 204-0227 |
| Full Name | Mark Stadlen |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 3803 Broadway, Astoria, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942479324 | NPI | - | NPPES |
| MS0C329210 | Other | NY | BCBS |
| 00695345 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV0040201 (New York) | Primary |
| Provider Name | 200 West Optics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831770890 PECOS PAC ID: 5395144380 Enrollment ID: O20210525000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Stadlen, 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Mark Stadlen, 3803 Broadway, Astoria, NY 11103-4058 Ph: (718) 956-3000 |
Prime Optics Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3250 Vernon Blvd, Astoria, NY 11106 Phone: 718-267-3687 Fax: 718-267-3692 | |
Astoria Advanced And Integrative Medicine Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3080 21st St, 2nd Floor Medical Center, Astoria, NY 11102 Phone: 718-873-9550 Fax: 718-228-4591 | |
Soula Economou, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3620 Broadway, Astoria, NY 11106 Phone: 718-204-2007 | |
200 West Optics, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3803 Broadway, Astoria, NY 11103 Phone: 718-956-3000 Fax: 718-204-0227 | |
Antoine Copty Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2116 35th St, 1g, Astoria, NY 11105 Phone: 713-724-8353 Fax: 186-654-3570 | |
Gurkiran Kaur, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3803 Broadway, Astoria, NY 11103 Phone: 718-956-3000 Fax: 718-204-0227 | |
Dr. Luana Livia Menezes, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3080 21st St, Astoria, NY 11102 Phone: 718-873-9550 Fax: 718-228-4591 |