| Dr Laura Ann Buccellato, OD | |
|
388 Hawkins Ave, Suite 2, Ronkonkoma, NY 11779-4280 | |
| (631) 588-7004 | |
| (631) 588-2612 |
| Full Name | Dr Laura Ann Buccellato |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 26 Years |
| Location | 388 Hawkins Ave, Ronkonkoma, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932182938 | NPI | - | NPPES |
| 7002866 | Other | NY | CIGNA |
| C407A1 | Other | NY | EMPIRE |
| P3585214 | Other | NY | OXFORD |
| 6599232 | Other | NY | GHI |
| CDWGG1 | Other | NY | PTAN MEDICARE |
| 2529608 | Other | NY | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV6227-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sachem Optics Inc | 3375432164 | 4 |
| Pscg Optics Inc | 6709775505 | 3 |
| Provider Name | Sachem Optics Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518360924 PECOS PAC ID: 3375432164 Enrollment ID: O20040311000275 |
| Provider Name | H&r Optical Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912030339 PECOS PAC ID: 6204725930 Enrollment ID: O20040311001077 |
| Provider Name | Pscg Optics Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780717199 PECOS PAC ID: 6709775505 Enrollment ID: O20070626000303 |
| Provider Name | Holbrook Optics Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801489968 PECOS PAC ID: 1153739826 Enrollment ID: O20210419000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laura Ann Buccellato, OD 388 Hawkins Ave, Suite 2, Ronkonkoma, NY 11779-4280 Ph: (631) 588-7004 | Dr Laura Ann Buccellato, OD 388 Hawkins Ave, Suite 2, Ronkonkoma, NY 11779-4280 Ph: (631) 588-7004 |
Kristin Ann Protosow, OPTOMETRIST, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 624 Hawkins Ave, Suite 1, Ronkonkoma, NY 11779 Phone: 631-588-5100 Fax: 631-588-5185 |