Watertown Medical Optical Pllc is a medicare enrolled "Eyewear Supplier" provider in Watertown, New York. Their current practice location is
1815 State Street, Watertown, New York. You can reach out to their office (for appointments etc.) via phone at
(315) 786-8064.
Watertown Medical Optical Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Watertown Medical Optical Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1730203548.
Healthcare Provider's Profile
| Full Name | Watertown Medical Optical Pllc |
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| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 1815 State Street, Watertown, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730203548
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 04/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 7214058635
- Enrollment ID: O20100930021441
Medical Identifiers
Medical identifiers for Watertown Medical Optical Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730203548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | VUT0053871 (New York) | Secondary |
| 207W00000X | Ophthalmology | 2060481 (New York) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Watertown Medical Optical Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Watertown Medical Optical Pllc
1815 State Street,
Watertown, NY 13601
Ph: (315) 786-8064 | Watertown Medical Optical Pllc
1815 State Street,
Watertown, NY 13601
Ph: (315) 786-8064 |
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