| Michael Pittelli, OD | |
|
532 Broadway, Massapequa, NY 11758-5004 | |
| (516) 798-2635 | |
| Not Available |
| Full Name | Michael Pittelli |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 532 Broadway, Massapequa, 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 |
|---|---|---|---|
| 1225192719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6251 (New York) | Primary |
| 152W00000X | Optometrist | 1337 (Arizona) | Secondary |
| Provider Name | Empire Vision Center Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750358826 PECOS PAC ID: 4688573876 Enrollment ID: O20040107000405 |
| Provider Name | South Shore Optometric Associates, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710936059 PECOS PAC ID: 6204801970 Enrollment ID: O20040827000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Pittelli, OD 532 Broadway, Massapequa, NY 11758-5004 Ph: (516) 798-2635 | Michael Pittelli, OD 532 Broadway, Massapequa, NY 11758-5004 Ph: (516) 798-2635 |
Massapequa Optometric Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 532 Broadway, Massapequa, NY 11758 Phone: 516-798-2635 Fax: 516-798-0896 | |
Dr. Michael G Dorfman, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4900 Merrick Rd, Davis Vision Southgate Shopping Center, Massapequa, NY 11762 Phone: 516-799-6500 Fax: 516-799-6507 | |
200 West Optics, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 532 Broadway, Massapequa, NY 11758 Phone: 516-798-2635 Fax: 516-798-0896 | |
We'll See Enterprises, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 224 Sunrise Mall, Massapequa, NY 11758 Phone: 212-795-3030 Fax: 516-795-2418 | |
David Lane Leibstein, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 532 Broadway, Massapequa, NY 11758 Phone: 516-798-2635 | |
Dr. Jeffrey M. Rosen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 224 Sunrise Mall, Massapequa, NY 11758 Phone: 516-795-3030 Fax: 516-795-2418 |