| New York Optometry Professional Pllc | |
|
75 Main St, Sidney, NY 13838-1138 | |
| (607) 563-7551 | |
| (314) 741-4947 |
| Full Name | New York Optometry Professional Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 75 Main St, Sidney, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598470544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | George T Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245223965 PECOS PAC ID: 4284617598 Enrollment ID: I20040609000151 |
| Provider Name | Joanne Clark-schrynemakers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215917703 PECOS PAC ID: 6709825433 Enrollment ID: I20050502000645 |
| Provider Name | Stephanie P Su |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447323795 PECOS PAC ID: 5395768352 Enrollment ID: I20070725000598 |
| Provider Name | Anthony Mondo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225005986 PECOS PAC ID: 5496711301 Enrollment ID: I20071119000277 |
| Provider Name | Jacob Nachum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124107685 PECOS PAC ID: 2466587472 Enrollment ID: I20100428000328 |
| Provider Name | Hemali B. Jardosh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144537218 PECOS PAC ID: 6709066558 Enrollment ID: I20110210000699 |
| Provider Name | Timothy E Braim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104939651 PECOS PAC ID: 3870616634 Enrollment ID: I20110308000958 |
| Provider Name | Jeffrey M. Rubin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396749651 PECOS PAC ID: 9133304900 Enrollment ID: I20110810000062 |
| Provider Name | Angela M Marx |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770871683 PECOS PAC ID: 9133398027 Enrollment ID: I20110810000480 |
| Provider Name | Sarah B Klein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710934252 PECOS PAC ID: 1759393614 Enrollment ID: I20120703000391 |
| Provider Name | Vadim Guy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205119120 PECOS PAC ID: 6103099965 Enrollment ID: I20130524000190 |
| Provider Name | Amanda Solar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912169970 PECOS PAC ID: 7214161413 Enrollment ID: I20131001000272 |
| Provider Name | Judy Park Revai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487676516 PECOS PAC ID: 4688625163 Enrollment ID: I20141104000042 |
| Provider Name | Elizabeth Sall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306114020 PECOS PAC ID: 6800155110 Enrollment ID: I20180112000770 |
| Provider Name | Ryan Whinery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417465568 PECOS PAC ID: 1153676838 Enrollment ID: I20180620003175 |
| Provider Name | Chad Michael Belanger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164427969 PECOS PAC ID: 1658268305 Enrollment ID: I20180829000847 |
| Provider Name | Michael Albert Christensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356909972 PECOS PAC ID: 5496080541 Enrollment ID: I20190711000591 |
| Provider Name | Jeremy Norman Outinen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255834768 PECOS PAC ID: 2466884622 Enrollment ID: I20191111000433 |
| Provider Name | Robert Burtch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649667122 PECOS PAC ID: 8527450303 Enrollment ID: I20220128001449 |
| Provider Name | Stephanie D'orazio-brafman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811372279 PECOS PAC ID: 6406156678 Enrollment ID: I20220401000659 |
| Provider Name | Al'tiana Manning |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821615873 PECOS PAC ID: 5092103408 Enrollment ID: I20220401000793 |
| Provider Name | Kelsey Palmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992462725 PECOS PAC ID: 8820484694 Enrollment ID: I20220404000896 |
| Provider Name | Michelle Cecilia Sturckler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043996994 PECOS PAC ID: 3779944681 Enrollment ID: I20230725001876 |
| Provider Name | Brian M Markowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932834843 PECOS PAC ID: 2264817014 Enrollment ID: I20231108003584 |
| Provider Name | Cassandra Lappegaard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962742627 PECOS PAC ID: 3779727995 Enrollment ID: I20240215000450 |
| Provider Name | My Phuong Bui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831544295 PECOS PAC ID: 0840586400 Enrollment ID: I20240308003159 |
| Provider Name | Sarah M Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487384442 PECOS PAC ID: 5597203414 Enrollment ID: I20240809002828 |
| Provider Name | Bakari Samin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225775232 PECOS PAC ID: 6305370628 Enrollment ID: I20241108003168 |
| Provider Name | Rama Kanout |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285340935 PECOS PAC ID: 2961877048 Enrollment ID: I20250514000446 |
| Provider Name | Paul Tieri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245720655 PECOS PAC ID: 9234489378 Enrollment ID: I20250521001986 |
| Provider Name | Patrick Titterington |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619485885 PECOS PAC ID: 6800158551 Enrollment ID: I20250522000938 |
| Mailing Address | Practice Location Address |
|---|---|
| New York Optometry Professional Pllc 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 | New York Optometry Professional Pllc 75 Main St, Sidney, NY 13838-1138 Ph: (607) 563-7551 |
Dr George T Roberts Optometrist Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 75 Main St, Sidney, NY 13838 Phone: 607-563-7551 Fax: 607-563-2442 | |
Dr. George T Roberts, Optometrist, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 75 Main St, Sidney, NY 13838 Phone: 607-563-7551 |