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 |