| Nusrat Jahan, OD | |
|
385 Route 25a Unit 6, Miller Place, NY 11764-2501 | |
| (631) 642-8400 | |
| (631) 642-8403 |
| Full Name | Nusrat Jahan |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 385 Route 25a Unit 6, Miller Place, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063286078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV009918 (New York) | Primary |
| Provider Name | 200 West Optics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831770890 PECOS PAC ID: 5395144380 Enrollment ID: O20210525000165 |
| Provider Name | We Eye Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073251674 PECOS PAC ID: 5799182564 Enrollment ID: O20210921001901 |
| Provider Name | Nyc Optical Group 1 Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033803572 PECOS PAC ID: 5193171056 Enrollment ID: O20231028000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Nusrat Jahan, OD 385 Route 25a Unit 6, Miller Place, NY 11764-2501 Ph: (631) 642-8400 | Nusrat Jahan, OD 385 Route 25a Unit 6, Miller Place, NY 11764-2501 Ph: (631) 642-8400 |
200 West Optics, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 385 Route 25a Unit 6, Miller Place, NY 11764 Phone: 631-342-8400 Fax: 631-642-8403 | |
Dr.anthony Modesto Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 385 Route 25a Unit 6, Miller Place, NY 11764 Phone: 631-642-8400 Fax: 631-642-8403 | |
Dr. Anthony Modesto, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 385 Route 25a, Suite 6, Miller Place, NY 11764 Phone: 631-642-8400 Fax: 631-642-8403 |