| Mrs Melissa A Ernst Brenot, | |
| 860 Route 134 Ste 8, South Dennis, MA 02660-2577 | |
| (508) 394-2211 | |
| (508) 398-4471 | 
| Full Name | Mrs Melissa A Ernst Brenot | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 860 Route 134 Ste 8, South Dennis, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245266998 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 0662 (New Hampshire) | Secondary | 
| 152W00000X | Optometrist | OPT5720 (Massachusetts) | Primary | 
| Provider Name | Carlos Manrique De Lara Mdpa | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1770558447 PECOS PAC ID: 2466435540 Enrollment ID: O20040610000078 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Melissa A Ernst Brenot, 860 Route 134 Ste 8, South Dennis, MA 02660-2577 Ph: (508) 394-2211 | Mrs Melissa A Ernst Brenot, 860 Route 134 Ste 8, South Dennis, MA 02660-2577 Ph: (508) 394-2211 | 
| Frank D. Puzio, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 Fax: 508-398-4471 | |
| Nicole M Sopp, OD Optometrist Medicare: Medicare Enrolled Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 150-839-4221 Fax: 508-398-4471 | |
| Dr. Frank D Puzio, O.D., F.A.A.O. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 Fax: 508-398-4471 | |
| Mr. Matthew S Puzio, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 | |
| Puzio Eyecare Associates, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 860 Route 134 Ste 8, South Dennis, MA 02660 Phone: 508-394-2211 Fax: 508-398-4471 |