| Tan & Mar Optometry | |
|
834 Fort Salonga Rd, Suite D, Northport, NY 11768-3157 | |
| (631) 757-4440 | |
| (631) 757-4593 |
| Full Name | Tan & Mar Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 834 Fort Salonga Rd, Northport, 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 |
|---|---|---|---|
| 1770973968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | NY TUV 7209 (New York) | Primary |
| Provider Name | Ellvin John Mar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790965101 PECOS PAC ID: 1355415035 Enrollment ID: I20140728001695 |
| Provider Name | Grace Tan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770776197 PECOS PAC ID: 1052537016 Enrollment ID: I20150422001037 |
| Mailing Address | Practice Location Address |
|---|---|
| Tan & Mar Optometry 834 Fort Salonga Rd, Suite D, Northport, NY 11768-3157 Ph: (631) 757-4440 | Tan & Mar Optometry 834 Fort Salonga Rd, Suite D, Northport, NY 11768-3157 Ph: (631) 757-4440 |
Candice Distefano, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Brenda Botwinick, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Danielle Kalberer, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Optometry Service 123, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Michael Tanenbaum, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 834 Fort Salonga Rd, Northport, NY 11768 Phone: 631-757-4440 Fax: 631-757-4593 | |
Esther Moller, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Lynne Colleen Rader, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Arlene L Vazquez Young, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 89 Main St, Northport, NY 11768 Phone: 631-757-6190 Fax: 631-757-4759 |