| Edward J Moylan Od Pc | |
|
537 Patchogue Rd, Port Jefferson Station, NY 11776-1006 | |
| (631) 642-2020 | |
| (631) 642-3938 |
| Full Name | Edward J Moylan Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 537 Patchogue Rd, Port Jefferson Station, 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 |
|---|---|---|---|
| 1043408958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV004922-1 (New York) | Primary |
| Provider Name | Edward J Moylan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063588424 PECOS PAC ID: 7416904552 Enrollment ID: I20050331001229 |
| Provider Name | Justin D Kraushaar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912262171 PECOS PAC ID: 8123271632 Enrollment ID: I20130114000019 |
| Provider Name | Julie Demartini |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316299449 PECOS PAC ID: 8426289703 Enrollment ID: I20140331000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J Moylan Od Pc 537 Patchogue Rd, Port Jefferson Station, NY 11776-1006 Ph: (631) 642-2020 | Edward J Moylan Od Pc 537 Patchogue Rd, Port Jefferson Station, NY 11776-1006 Ph: (631) 642-2020 |
Dr. Edward John Moylan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 537 Patchogue Road, Port Jefferson Station, NY 11776 Phone: 631-642-2020 Fax: 631-642-3938 | |
Dr. Andrew Mulligan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1092 Route 112, Port Jefferson Station, NY 11776 Phone: 631-474-3937 Fax: 631-474-3966 | |
Optyx Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1092 Route 112, Port Jefferson Station, NY 11776 Phone: 631-474-3937 Fax: 631-474-3966 | |
Julie Demartini, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 516-393-8907 | |
Dr. Howard Kessler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5330 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-331-3883 Fax: 631-642-1506 | |
Insight Vision Center Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 5330 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-331-3883 Fax: 631-642-1506 |