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 | 24 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 | 2 |
Pscg Optics Inc | 6709775505 | 2 |
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 |